Partnership for Health - Safer Sex

The Partnership for Health-Safer Sex (PfH-SS) intervention uses message framing, repetition, and reinforcement during patient visits to increase HIV-positive patients’ knowledge, skills, and motivations to practice safer sex. PfH-SS is designed to improve patient-provider communication about safer sex, the disclosure of HIV status, and HIV prevention.

Doctor speaking with male patient in office

About Partnership for Health-Safer Sex

Partnership for Health-Safer Sex (PfH-SS) is a brief (three- to five-minute), clinic-based, individual-level, provider-administered intervention emphasizing the importance of the patient-provider relationship to promote healthy patient behaviors. The provider incorporates good communication techniques and use of consequences-framed messages for patients or clients engaged in high risk sexual behavior, and integrates prevention messaging into every patient visit.

Intervention Goal

To improve patient-provider communication about safer sex, disclosure of HIV status, and HIV prevention.

Intervention 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 on protection, partner protection, and disclosure.
  • Referrals provided for needs that require more extensive counseling and services.

Intervention Target Population

  • HIV-positive patients

PfH-SS Training

This training has 2 components:

  1. 2-hour eLearning overview for providers module
  2. 4-hour in-person classroom training

Before participating in the four-hour PfH-SS classroom training, clinic staff are encouraged to take the Partnership for Health – Medication Adherence eLearning module located in CDC TRAINexternal icon. The PfH-SS online training module located in CDC TRAINexternal icon can be considered for clinic staff who are unable to attend the classroom training.

To view and register for scheduled classroom trainings:

  1. Access the National HIV Classroom Learning Center training calendarexternal icon hosted on Cicatelli Associates, Inc.’s (CAI’s) website.
  2. Pre-register for your selected course via the link provided in the training calendar.
  3. Complete your registration on CDC TRAINexternal icon as directed when you receive an email from the National HIV Classroom Learning Center. You must join the HIV CBA Learning Group and locate the HIV CBA Training Plan in order to complete your CDC TRAIN registration for a specific classroom session (step-by-step instructionspdf iconexternal icon are available).

To access eLearning modules, including classroom training prerequisite courses:

  1. Log-in to CDC TRAINexternal icon and access the HIV CBA Training Plan (step-by-step instructionspdf iconexternal icon are available).
  2. Select the module you wish to take.
  3. Launch the module or save the module for later.

To request that a classroom training be scheduled:

  1. CDC’s directly funded health department and CBO partners may request delivery of a CDC-supported training by submitting a request in the CBA Tracking System.
  2. Organizations not directly funded by CDC may contact their local health department for assistance in submitting a training request.

If you have questions or need additional assistance, please contact or

Implementation and Marketing Materials

The materials and resources listed below support the implementation and/or marketing of Partnership for Health-Safer Sex by health departments, community-based organizations, and health care or other organizations. The resources are evidence-based and designed for cost-effective, scalable implementation.

  • Milam J, Richardson JL, McCutchan A, Stoyanoff S, Weiss J, Kemper C, Larsen RA, Hollander H, Weismuller P, Bolan R. Effect of a brief antiretroviral adherence intervention delivered by HIV care providers. J Acquir Immune Defic Syndr 2005;40(3):356-363.