Background:
The utility of the Internet as a venue for disease control and prevention has only recently been recognized. As the need has arisen, many program areas have sought guidance from NCSD and CDC regarding Internet-based STD prevention. As a result, CDC and NCSD assessed internet-related STD prevention activities among program areas.

Objective:
To report on programmatic capacity, knowledge, practices and attitudes regarding Internet-based prevention, as well as related future needs. Next steps will include the development of an online resource, training programs and standardized guidelines for program areas.

Method:
A mixed-method survey was developed and sent to all full members of NCSD, comprising all 65 program areas. Results were entered and analyzed in SPSS.

Result:
53 surveys were completed and returned. 71% (n=46) of program areas responded. Only 15% of respondents stated that all STD patients are queried about online sex partners. 47% of respondents use the Internet for online partner notification but only 40% have written protocols to guide this activity. 29% are using the Internet for outreach but only 7% have written protocols in place. The top three barriers preventing programs from using the Internet for public health include: internal restrictions (65%), lack of personnel (57%), and lack of financial means (44%). The majority of participants want training to use the Internet for partner notification (67%), health education (67%), and online outreach (57%). Many areas require training for basic computer tasks such as using search engines or entering chat rooms.

Conclusion:
Program areas are differentially prepared to incorporate the Internet into programmatic efforts. Protocol development and training are urgently needed, as are guidelines, technical assistance and staffing/financial plans.

Implications:
Program areas will learn what the CDC and NCSD will be undertaking to help with Internet-based STD prevention activities.