Expert 1:1 Care

Online Individual Therapy for Republic of the Congo.

Getting to a therapist in Republic of the Congo runs into a hard structural ceiling. Fewer than a dozen practicing psychiatrists serve 6.3 million people, almost all of them clustered around Centre Hospitalier Universitaire de Brazzaville, the psychiatric unit at Hopital de Makelekele, and a handful of private clinics in Pointe-Noire. Public waitlists commonly stretch to nine weeks, and finding a clinician actually trained in the specific approach your situation calls for, whether that is OCD, PTSD, panic, depression, BPD, bipolar, grief, relationship strain, anger, or the many other things people work through, is another problem entirely. Grouport is built for that gap. After a short signup you are presented with therapist options fitted to your situation, you choose the clinician you want to work with, and typically get started within 24 to 72 hours. Weekly 45-minute one-on-one video sessions with the same licensed therapist over secure HIPAA-compliant video, at $103 per session on average ($448 per month), with automatic discounts included for every additional weekly session.

Greeting

Mental Health Access in the Republic of the Congo.

Understanding the landscape of mental health care access and the challenges
residents face.

Mental Illness Prevalence

15.7% of Congolese adults live with a mental health condition each year, reflecting the ongoing need for accessible therapy options.

Wait Time

9 weeks the average wait to secure a first mental health appointment in the Republic of the Congo's public system, an interval during which symptoms often deepen.

Median Household Income

$3,431 median household income in the Republic of the Congo, shaping what households can allocate to private mental health care.

Percentage Who Need Therapy

85.0% of Congolese adults with a mental health condition do not receive formal specialist treatment.

Provider Shortage

73% of the Republic of the Congo's mental health workforce falls short of what is needed to fully meet population demand for specialist care.

Mental Health Providers per 100k Residents

13.3 per 100,000 mental health workers in the Republic of the Congo, a density that shapes availability, wait times, and access across the country.

Roughly 13.35 mental health workers per 100,000 people, fewer than a dozen practicing psychiatrists nationwide, a nine-week typical wait for a specialist appointment, and near-total concentration of that workforce in Brazzaville and Pointe-Noire together describe a country where in-person one-on-one therapy is simply out of reach for a large share of its 6.3 million people. Those numbers make a strong case for Grouport's model in Republic of the Congo. Weekly video sessions with a licensed clinician bypass the geographic bottleneck entirely, remove the nine-week wait, and let an Grouport therapist support clients from Ouesso to Pointe-Noire on the same predictable USD subscription. Grouport's delivery model fits the constraints the data describe.

UNDERSTANDING THE CHALLENGE

Why Congolese Face a Care Gap.

The Problem

The Republic of the Congo carries one of the sparser mental health workforces on the continent, at 13.35 professionals per 100,000. The vast majority cluster in Brazzaville and Pointe-Noire, leaving the Sangha, Likouala, and Cuvette-Ouest departments with almost no resident psychologists. For a country where 63.9% of the population is urban but the remaining third is spread across dense equatorial forest and river settlements, the geography of care is genuinely unforgiving.

The Impact

For a working adult in Brazzaville, Pointe-Noire, or a northern department, Republic of the Congo's access gap translates into weeks or months of untreated anxiety, depression, or burnout while trying to schedule with fewer than a dozen practicing psychiatrists nationwide. A nine-week wait can mean missed workdays, disrupted sleep, deteriorating relationships, and the financial strain of paying out-of-pocket at private clinics that may not carry consistent medication supplies. Traveling from Sangha or Likouala to reach a specialist adds hundreds of kilometers, lost income, and hotel costs on top of the consultation fee. Grouport removes that friction by matching clients right away with a licensed therapist over HIPAA-compliant video, so treatment can begin this week from home rather than after a long queue and a long journey.

The Solution

Grouport's online individual therapy works around the specific realities of Republic of the Congo's mental health system rather than trying to force people through it. Instead of queuing for a slot at Centre Hospitalier Universitaire de Brazzaville or the psychiatric unit at Hopital de Makelekele, or paying out-of-pocket at a private practice concentrated in central Brazzaville or Pointe-Noire, clients complete a short signup, review therapist options fitted to their situation, and choose the clinician they want to work with, typically starting within 24 to 72 hours. Weekly 45-minute one-on-one video sessions run over secure HIPAA-compliant video with the same licensed therapist across the arc of care, so someone in Ouesso, Impfondo, Dolisie, or a village along the Sangha River gets the same continuity as someone a few blocks from the capital's main hospital. Care plans are shaped around what the client is actually navigating, whether that is trauma, anxiety, depression, OCD, panic, grief, chronic stress, relationship strain, or something else, and frequency can flex as things evolve.

73% of the Republic of the Congo's mental health workforce falls short of what is needed to fully meet population demand for specialist care.

Grouport loosens three specific frictions that make one-on-one therapy hard to access in Republic of the Congo. First, the roughly nine-week wait typical of the small local specialist workforce becomes an immediate start, with a licensed therapist available for a first session within the same week as intake. Second, the extreme concentration of psychiatrists in Brazzaville and Pointe-Noire is replaced by nationwide reach: residents of Ouesso, Owando, Dolisie, Sangha, or Likouala can log in without a costly journey by road or riverboat to the capital. Third, the shortage of specialists trained in specific evidence-based modalities is addressed directly, since Grouport's licensed clinician bench covers CBT, DBT, EMDR, ERP, and other approaches that are difficult to find locally.

Access and Availability Across the Country.

Republic of the Congo's formal mental health care landscape is small and centralized. The public system, anchored by Centre Hospitalier Universitaire de Brazzaville and the psychiatric unit at Hopital de Makelekele, handles most specialist care but faces chronic shortages of medication, trained staff, and dedicated inpatient beds. Private psychiatric practice exists on a modest scale in Brazzaville and Pointe-Noire, paid largely out-of-pocket. Employee assistance programs, university counselling, and NGO-run mental health outreach exist but are limited in scope, and the Caisse d'Assurance Maladie Universelle scheme reaches only a small share of the population. Grouport fills a specific gap in that landscape: immediate-start, weekly, one-on-one therapy with a licensed clinician, delivered over HIPAA-compliant video and priced as a predictable USD subscription.

Geographic Barriers

Nearly all of Republic of the Congo's specialist psychiatric capacity sits in Brazzaville and Pointe-Noire, the two cities that together hold most of the country's clinicians and psychiatric infrastructure. Departments such as Sangha, Likouala, Cuvette, Plateaux, and Niari are served thinly or not at all, and patients from Ouesso, Owando, Impfondo, or Dolisie can face journeys of hundreds of kilometers by unpaved road or riverboat to reach a licensed clinician. That geography makes weekly in-person therapy impractical for a large share of the population. Grouport's nationwide online reach means a client in a northern town has the same access to a licensed therapist as someone living a few blocks from the capital's main hospital, provided they have a stable internet connection.

Extended Wait Times

Because Republic of the Congo has fewer than a dozen practicing psychiatrists serving 6.3 million people, wait times to see a specialist in the public system commonly run around nine weeks, and often longer for anyone outside Brazzaville or Pointe-Noire. Private urban clinics can move faster but charge out-of-pocket and are also concentrated in the two main cities. For someone in acute distress with anxiety, depression, or grief, sixty-three days is a long time to wait for a first appointment. Grouport removes that wait entirely: after a short intake, a licensed therapist is available for one-on-one video sessions the same week. Instead of waiting nine weeks to be seen, Congolese clients can begin structured weekly therapy immediately and stay with the same clinician throughout their care.

Systemic Challenges

Several systemic factors constrain access to individual therapy in Republic of the Congo. The workforce is very small, at roughly 13.35 mental health workers per 100,000 people including psychiatric nurses, with fewer than a dozen practicing psychiatrists nationwide. Public facilities face chronic medication shortages and staffing gaps, so continuity of care is difficult even for patients who make it to a first appointment. The Caisse d'Assurance Maladie Universelle scheme launched in the 2010s but reaches only a small share of the population, so most Congolese pay for psychiatric consultations and medication out-of-pocket at private pharmacies and clinics. Mental illness is also heavily stigmatized in many communities. Grouport operates entirely outside those constraints, delivering weekly one-on-one therapy with a licensed clinician on a predictable USD subscription.

Urban-Rural Divide

Even within Republic of the Congo's cities the access picture is uneven. In Brazzaville and Pointe-Noire, professionals in central districts may reach a private clinician within a reasonable travel time, while residents of outer neighborhoods can spend an hour or more in traffic to attend a single 45 minute session. Outside those two cities the gap widens sharply: rural departments like Sangha, Likouala, Lekoumou, and Cuvette-Ouest have little to no specialist coverage, and residents may need to travel to the capital for any psychiatric appointment. Grouport levels that landscape. A client logging in from Ouesso, Impfondo, or a village along the Sangha River has the same weekly access to a licensed therapist as someone in central Brazzaville, all at the same USD subscription price.

For anyone in Republic of the Congo ready to begin real weekly work with a therapist actually trained for what they are carrying, Grouport is a direct route around the bottleneck. After a short signup you are presented with clinician options fitted to your specific situation, you pick the therapist you would like to work with, and typically get started within 24 to 72 hours instead of waiting the nine weeks a public specialist slot commonly requires. The first 45-minute one-on-one session typically lands the same week. Pricing is $103 per session on average ($448 per month), or $224 per month on the every-other-week plan, with automatic discounts included for every additional weekly session and no per-visit surprises. The same licensed therapist stays with you across the arc of your work, with the flexibility to step up frequency during heavier stretches, drop back when things stabilize, or layer in other Grouport care, group, couples, family, or an intensive outpatient program, if that turns out to be useful. A care coordinator is available throughout to help with anything you need, from choosing a therapist to adjusting your care as your situation shifts.

Cost and Value for Congolese clients.

Grouport gives Republic of the Congo residents immediate access to individual therapy at $103 per session on average (billed at $448 per month), 50 to 60 percent below the global average of $150 to $250 per session for private one-on-one therapy. Clients who prefer a lighter cadence can also choose every other week, billed at $224 per month. Sessions are 45 minutes of one-on-one time with the same licensed clinician each week, delivered over HIPAA-compliant video. Pricing is quoted in USD and billed as a straightforward monthly subscription with no per-visit surprises, so clients can plan a full course of care rather than negotiating fees appointment by appointment.

Affordability and Income

Republic of the Congo is classified as a lower-middle-income country with a gross national income of about $2,270 per capita by the Atlas method and $6,320 in purchasing power parity terms, so any recurring health expense needs to be planned carefully. Grouport's USD monthly subscription of $103 per session on average, billed at $448 per month for weekly sessions or $224 for every-other-week sessions gives Congolese clients a fixed figure to budget against rather than a variable stack of per-visit fees at private clinics plus travel costs to reach them. Because the same amount covers every session in the month, it is easier to plan a full course of care over three, six, or nine months without repeated conversations about pricing. Clients can cancel anytime, so the commitment is month to month, not a long-term contract.

Hidden Cost and Barriers

In-person therapy in Republic of the Congo carries costs that do not appear on the invoice. In Brazzaville and Pointe-Noire, reaching a private clinic can mean 30 to 90 minutes each way in traffic, taxi fares, and lost working hours around a single 45 minute session. Clients outside the two main cities may pay for long-distance road transport, riverboat fares, or overnight stays to attend appointments in the capital. Per-session billing at private clinics is unpredictable and typically quoted in FCFA, which adds a currency conversion step for expatriates paid in USD or EUR. Finding a licensed clinician locally is difficult on top of all that. Grouport folds all of this into one predictable USD subscription paid month to month, with no commute, no cash handling, and cancel anytime.

Immediate Availability

Where a public system appointment in Republic of the Congo can take around nine weeks, and private clinics in Brazzaville or Pointe-Noire may also stretch out over several weeks depending on the specialist, Grouport is set up to move immediately. After a short intake, a client is matched right away with a licensed therapist and can book a first video session within the same week, from anywhere in Congo with a stable internet connection. There is no queue, no referral chain, and no wait for a specialist slot to open. For Republic of the Congo clients ready to start now, a licensed Grouport therapist is available this week to begin one-on-one weekly sessions and continue that relationship over the full course of care.

How it Works

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We’ll get in touch with you to get brief context to make sure we match you with the therapist that best fits your needs & schedule. (Typically match in 24-72 hours)

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Meet weekly with a licensed mental health professional for 45-minute video sessions. With consistent online therapy services, you can start seeing meaningful results.

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Mental Health Conditions We Treat in

Republic of the Congo

Beyond individual therapy, Grouport offers licensed therapists who specialize across the full spectrum of mental health needs and evidence-based approaches. Whatever you're looking for, we have a therapist for your needs.

Meaningful Results

Check out how our online therapy services have helped our members see life-changing results

Stephanie

“Grouport is time flexible and affordable and if it didn’t exist, I don’t know where I would go. I had looked into other places before Grouport and there really wasn’t any option like it.”

Michael

“I highly recommend this to anyone who is struggling with anxiety or depression. The therapists are top notch and have made me feel really comfortable and my anxiety has improved tremendously in only a few sessions!”

Isabel

"I joined Grouport to work on myself and to heal. I’m learning so much at every session! The change I see not only in myself but in my fellow group members is abundantly encouraging and profoundly fulfilling. Group therapy with Grouport is a powerful healing tool."

Sheldon

“I was feeling very down at the end of 2020 and I was ready to do something drastic that I know I'd likely regret. The group definitely helped show me that there are people who feel the same way as I do.”

Nancy

“The therapy from Grouport is high quality and convenient. I am becoming much more self aware and am liking myself more. My relationships at work are better and I’m much happier.”

Emily

“I like the connection you can make with total strangers and the confidentiality it comes with.”

Olivia

“My weekly group helps me get through the week. Best experience ever!”

Danielle

"Grouport can help you with your issues. Their therapists are well trained to work with you on your issues. I felt my anxiety greatly improve after only a few sessions. I highly recommend it!"

Glenn

"Grouport's approach to DBT is a real strength. This approach provides tools and methods for working with difficult emotions and getting a handle on them. It has given me hope where other approaches have failed."

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Meet Our Therapists

Our therapists represent a wide range of clinical specialties & diverse backgrounds. They all undergo the most stringent credentialing process. Grouport therapists are caring, expert mental health professionals with years of experience helping people get the tools they need to see long-lasting change.

Grouport's clinicians are licensed psychologists, LCSWs, LMFTs, LMHCs, LPCs, PsyDs, and PhDs trained in specific evidence-based approaches, including CBT, DBT, ACT, EMDR, ERP, exposure therapy, IFS, psychodynamic work, and trauma-focused modalities. That specialization matters here: the point is not to reach any available clinician, but to work with someone trained for the particular thing you are dealing with, whether that is OCD, complex trauma, panic, BPD, an eating disorder, bipolar, ADHD, severe anxiety, depression, or something else entirely. After signup you review therapist options fitted to your situation and choose the clinician you would like to work with, and a care coordinator is available throughout to help you make that choice, adjust care later, or navigate anything else that comes up. Session times accommodate West Africa Time as well as European and shift schedules common in oil, NGO, and public-sector work in Brazzaville and Pointe-Noire. All sessions are 45 minutes, on secure HIPAA-compliant video, and fully confidential.

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Affordable Individual Therapy & Care Options in the Republic of the Congo.

Group, individual, couples, family, IOP, and teen therapy — all online, all therapist-led. Mix and match care options to fit your needs — and get discounted pricing when you bundle.

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Individual Therapy

$112/session
billed at $448/month

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Group Therapy

$35/session
billed at $140/month

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Partnership

Couples Therapy

$123/session
billed at $492/month

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Family Therapy

$160/session
billed at $640/month

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IOP Therapy

$337/week
billed at $1,348/month

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Teen Therapy

$112/session
billed at $448/month

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Common Questions from Congolese Members.

Do you treat children or only adults?

Grouport serves teens/adolescents (ages 11+), adults, couples, and families. Our teen therapy program consists of group therapy, individual therapy, and family therapy, or a combination based on what’s appropriate and the level of care your teen needs. So teens often combine group therapy + individual therapy at the level that meets their needs or they do our intensive outpatient program for more acute needs.

What if I have technical problems during a session?

If you experience technical difficulties, first try refreshing your browser or reconnecting to your internet. If that doesn’t work, try a private browser, a different web browser, or try joining from another device. Your therapist will be there while you try to reconnect. If problems persist, contact our technical support team by emailing them at support@grouporttherapy.com. We can often resolve issues quickly. We also recommend testing your connection a couple of minutes before your session to prevent any issues.

Can I record my therapy sessions?

No, therapy sessions are not allowed to be recorded for confidentiality reasons. However, if you want to remember specific exercises or coping skills from your session from material that is being referenced during the session, you can ask your therapist to have our administrative staff email you the resources after your appointment if the therapist is willing to provide such materials to email to you. Certain types of sessions, like our DBT groups, come with reading manuals that we universally provide and you can review on your own time at your own pace outside of sessions. You can also take notes during sessions.

What if my issue is about something I'm ashamed of?

Therapy is exactly for that. Despite it feeling shameful to you, therapists have heard everything before and know not to be judgemental but rather to help you express your feelings and thoughts in a safe and comfortable setting. Whether your shame has to do with intrusive disturbing thoughts, sexual challenges, relationship betrayals, traumatic experiences, or something else, having a therapist who can listen to your challenges in a non-judgemental manner will go a long way. Being vulnerable is precisely one of the leading elements people find to contribute to their recovery. Just by simply voicing these feelings that you attach shame to, you’ll likely find significant relief pretty quickly. Therapists maintain strict confidentiality and shame will quickly lose its power once you can have someone you can confide in.

Can I do therapy if I'm really busy and sometimes miss sessions?

Consistency is of course important for therapy effectiveness but at the same time occasional misses are understandable since things in life inevitably do come up. As long as you're attending at least 80% of the time, you should be reaping the bulk of the benefit. When you can’t make it, give us 48-72 hours notice so we can try to reschedule your session for that week, or provide you alternative options. If missing sessions become a recurring issue then perhaps it makes sense to switch to a time slot that better works for your schedule. It’s important to find a way to be as consistent as physically possible with the understanding that we are all human, so of course things do happen from time to time that get in the way of making a session. Nonetheless, if you are attending for the most part you will surely see improvements over time.

What happens when therapy ends?

You fully decide on your own accord if you’d like to stop therapy. Your therapist can discuss this with you if helpful and weigh in if they agree that it makes sense to stop therapy at this time. So you can communicate with your therapist and they can help you decide so you can discuss this together as opposed to having to make a decision on your own. If you do wish to stop therapy, your therapist will help prepare you for handling things on your own. Some people end completely when goals are met but others wish to maintain some sort of schedule even if it's less frequent like weekly or bi-weekly sessions for ongoing maintenance. If you decide to stop, the key is ending intentionally with a plan to maintain progress. You can always come back at any time if needed and our care coordinator will be sure to assist you in getting set up again with the right care for your needs.

Can therapy help with self-esteem?

Yes, therapy can definitely help you address self-esteem challenges. Your therapist will help you identify where the low self esteem is coming from and what are the right approaches whether cognitive, behavioral or psychodynamic in nature to address these recurring feelings that keep on holding you back. Online therapy will help you build genuine confidence over time. It will likely require deep work on your beliefs about yourself and isn’t a simple quick fix. You’ll learn how to identify these unhealthy thought patterns and challenge negative self-talk, so that you can have a healthier perspective on things. Most people notice improvement in their self-esteem within 3-6 months of consistent therapy.

Can therapy help with relationship issues?

Whether you're dealing with partnership conflicts, dating challenges, family relationship stress, friendship issues, or loneliness, therapy addresses relationship problems regardless of your cultural context. Cultural norms around relationships vary but the emotional pain is universal.

What if I'm LGBTQ+ in a country where that's not accepted?

Being LGBTQ+ in countries with hostility toward LGBTQ+ people is isolating and dangerous. Therapy provides affirming support you might not be able to access locally. Your therapist won't judge you and understands the unique stresses of being LGBTQ+ in unsupportive environments. Your identity is valid even if your country doesn't recognize it.

Can I get therapy without a formal diagnosis?

Yes, if you're paying out-of-pocket. Insurance requires diagnosis codes, but self-pay doesn't. Many people prefer this, since they don't want depression or anxiety disorder in their permanent medical record. You can get help without labeling.

Can I schedule Individual Therapy sessions around public holidays and work commitments in the Republic of the Congo?

Yes. The Republic of the Congo runs on West Africa Time (UTC+1) year-round with no daylight saving, which keeps your weekly 45-minute one-on-one video session on a steady clock. You book a recurring slot with your licensed clinician that fits around workdays in Brazzaville or Pointe-Noire, national holidays, or travel to Ouesso or Dolisie. If a date conflicts, you reschedule directly with your therapist so the $103 per session on average, $448 per month rhythm, or the $224 per month every-other-week option, stays intact.

Grouport Individual Therapy runs in English over video. How does that work for residents in the Republic of the Congo?

Sessions are delivered via secure video over HIPAA-compliant video, reaching residents across the Republic of the Congo including oil-sector staff, international NGO workers, diplomatic mission personnel, university-educated professionals, and returnees from anglophone countries. You match with a licensed clinician (psychologist, LCSW, LMHC, LMFT, LPC, PsyD, or PhD) and start right away after intake. Pricing is $103 per session on average, billed at $448 per month, with an every-other-week option at $224 per month, giving you a predictable path to care from Brazzaville, Pointe-Noire, or anywhere with a stable connection.

Where in the Republic of the Congo We Serve.

Regions

Kouilou, Niari, Lekoumou, Bouenza, Pool, Plateaux, Cuvette, Cuvette-Ouest, Sangha, Likouala, and the autonomous departments of Brazzaville and Pointe-Noire.

Cities

Brazzaville, Pointe-Noire, Dolisie, Nkayi, Ouesso, Impfondo, Owando, Madingou, Mossendjo, Kinkala, Sibiti, Ewo, Djambala, and outlying communities across all twelve departments.

Zip Codes

Grouport serves all zip codes across Republic of the Congo. If you have an address in Republic of the Congo, Grouport can serve you regardless of your zip code.

Online Individual Therapy Available Worldwide

Grouport offers online individual therapy available globally for people in 200+ countries. Find a licensed therapist that fits your needs for weekly one-on-one sessions.

Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil British Virgin Islands Brunei Bulgaria Burkina Faso Burundi Cabo Verde Cambodia Cameroon Canada Cayman Islands Central African Republic Chad Chile China Christmas Island Colombia Comoros Cook Islands Costa Rica Croatia Cuba Curacao Cyprus Czech Republic Côte d'Ivoire Democratic Republic of the Congo Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Eswatini Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Guiana French Polynesia Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Macedonia Northern Mariana Islands Norway Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Republic of the Congo Reunion Romania Russia Rwanda Saint Barthélemy Saint Helena Saint Kitts and Nevis Saint Lucia Saint Martin Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten Slovakia Slovenia Solomon Islands Somalia South Africa South Korea South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu U.S. Virgin Islands Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe
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