This study explored the impact of drug criminalization and policing on harm reduction efforts in Nepal. In contexts marked by widespread corruption, drug criminalization often exacerbates the mistreatment by law enforcement of people who use drugs (PWUD), creating substantial barriers to their accessing harm reduction services. Utilizing a constructivist framework and a modified grounded theory approach, we conducted in-depth interviews with 20 PWUD to examine their experiences with drug use, interactions with police, and the consequent effects on harm reduction efforts. Three key themes emerged: the exploitation of PWUD as a significant source of income for corrupt police officers, the human rights of PWUD being violated by police, and police behaviors frequently contradicting harm reduction principles and practices. The findings of the study demonstrate how corrupt policing undermines harm reduction initiatives in Nepal. Policy reforms are urgently needed to equip law enforcement with harm reduction knowledge and skills, thus enabling PWUD to access essential services.
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