Partnership for Health

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A Brief Safer-Sex Intervention in HIV Clinics

Partnership for Health (PfH) uses message framing, repetition, and reinforcement during patient visits to increase HIV positive patients' knowledge, skills, and motivations to practice safer sex. The program is designed to improve patient-provider communication about safer sex, disclosure of HIV serostatus, and HIV prevention. Implementation of PfH includes development of clinic and staff "buy-in" and training.


  • 4 to 6 months start-up period
  • On-site Coordinator (half-time during start-up, quarter-time thereafter)
  • 1/2 day training of all clinic staff
  • Orientation and booster training(s)
  • Ongoing communications to patients
  • Program monitoring and evaluation

How to request training on Partnership for Health:

  • To request a training for your clinic, please review all the materials included in the Starter Kit before submitting your request. Training is specifically for HIV clinics who can deliver/participate in the Program Fundamentals listed above.
  • Training is provided on a case by case basis. If you believe you have the capacity to implement the intervention and would like to request training for your clinic, please send your request with your contact information (name, title, organization, address, phone, email) to with "Request for PfH Training" in the subject line.

Research and Development

Richardson, J.L., Milam, J., McCutchan, A., Stoyanoff, S., Bolan, R., Weiss, J., Kemper, C., Larsen, R.A., Hollander, H., Weismuller, P., Chou, C.P., Marks, G. (2004). Effect of brief safer-sex counseling by medical providers to HIV-1 seropositive patients: A multi-clinic assessment. AIDS, 18:1179-1186.

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PfH Core Elements

  • Providers delivering the intervention to HIV-positive patients in HIV outpatient clinics;
  • The clinic adopting prevention as an essential component of patient care;
  • All clinic staff trained to facilitate prevention counseling into standard practice;
  • Waiting room posters and brochures used to reinforce prevention messages delivered by the provider;
  • Supportive relationships built and maintained between the patient and the provider;
  • During routine visits, the provider initiates at least a 3- to 5-minute discussion with the patient or client about safer sex that focuses on self-protection, partner protection, and disclosure;
  • The provider incorporates good communication techniques and use of consequences-framed messages for patients or clients engaged in high risk sexual behavior;
  • Referrals provided for needs that require more extensive counseling and services; and
  • The prevention message integrated into clinic visits so that every patient is counseled at every visit.