Effective Interventions

Effective Interventions

High Impact Prevention

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

PfH - Safer Sex Overview eLearning Course

Enter the PfH - Safer Sex: An Overview for Providers course 

PfH - Safer Sex: An Overview for Providers - This 30-minute course is designed to help health care providers to recognize the benefits of integrating prevention messages into their clinic’s routine care for people living with HIV, utilize good communication skills to assess patients for HIV/STD transmission risk behaviors, and form “loss-frame” messages to deliver to patients who report transmission risk and/or non-disclosure of HIV status to sex partners. The primary target audience for this course is physicians who treat people living with HIV. In addition, anyone providing medical care or other support services to this population may find this information useful. 

Course Objectives
This course has been designed for clinicians who treat people living with HIV and has three learning objectives. Upon completion of this course, clinicians will be able to:
  1. Describe the intent and goal of the Partnership for Health - Safer Sex intervention.
  2. Demonstrate a brief and routine assessment of HIV transmission risk behavior.
  3. Apply loss framed messages focused on one or more of the core prevention messages: patient self-protection, partner protection, and disclosure of HIV status.
Continuing education is available for this course. *Instructions for seeking continuing education (PDF)

Need classroom training on PfH - Safer Sex?

  • 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 interventions@danya.com 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.

More Info

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.

The materials on this site are designed for HIV/AIDS prevention with persons at risk for acquiring or transmitting HIV. They are meant to be resources used by HIV prevention providers such as health departments and community-based organizations so as to provide the best evidence-based HIV prevention services. These materials are not meant for the general public. They are not meant for children. They are not school-based HIV prevention strategies.