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Excellent research topic with a catchy title. This research paper helps in identifying the role of TW’s in the spread of HIV. In Pakistan HIV/AIDS is now an established epidemic. This life threatening condition is still considered a stigma and the fear of disclosure restricts the patients from getting timely treatment. Although the number TW’s in Pakistan is not much but there role in spreading HIV should not be overlooked. The researchers have done justice in identifying the root causes and the idea of giving incentives to participants definitely needs appraisal.