One of the first things you need to learn about SQL (and relational databases) is that you shouldn't store multiple values in a single field.
You should create another table and store one value per row.
This will make your querying easier, and your database structure better.
select
case when exists (select countryname from itemcountries where yourtable.id=itemcountries.id and countryname = @country) then 'national' else 'regional' end
from yourtable