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Case Study 2 Questions * *Course Hero X +
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A
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Case Study 2 Questions * *Course Hero X +
X + -> C
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A. Discuss the use of harm-reduction practices, particularly needle and syringe exchange programs (NSPs) as 
described above, in reaching public health goals. What do you think are the primary reasons NSPs can be 
successful in reducing injection risk behavior? What are potential pitfalls of this type of program that 
could increase risky drug behavior? In the end, what is your viewpoint regarding this type of program—
do you consider it a positive tool against drug use, a risky program that should not be used, or a means 
that should be used but only under certain circumstances? Why?
B. Consider the potential political ramifications of Nazari et al.’s assertion that scaling up an outreach NSP 
could be “an effective and cost efficient strategy to reach the population of injecting drug users in 
Kermanshah and to reduce transmission of HIV in this setting.” 
Describe several stakeholders in the community who might be favorably or unfavorably interested in 
this scaled-up outreach NSP program. What would be their positions and their arguments for and/or 
against expanding the program in the community?

SCIENCE
HEALTH SCIENCE
NURSING
PUBLIC HEA 4352

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