“…Much of this success can be attributed to the ability of these programs to function without governmental restrictions or police intervention. Evidence shows that police activities indeed result in decreased uptake of voluntary drug user treatment and needle exchange services, increases in needle sharing, unsafe injecting, and improper disposal of needles (Aitken, Higgs, Kersall, & Kerger, 2002;Best, Beswick, & Gossop, 2001;Bluthenthal, Kral, Erringer, & Edlin, 1999;Darke, Topp, Kaye, & Hall, 2002;Maher & Dixon, 1999;Rhodes et al, 2003;Weatherburn & Lind, 1997). While most of this evidence comes from higher-income country settings, there is not much known about the impact of harsh drug control measures on the use of services in lower-and middle-income settings with injection-driven HIV epidemics.…”