Of the 6.6 million pregnancies in the U.S. each year, 3.4 million are accidental. Shouldn’t our healthcare system do a better job of helping women achieve their own goals?

Introducing Upstream USA℠, offering customized, CME/CEU-accredited, on-site technical training and capacity building to ensure that health centers can offer their patients the full range of contraceptive methods, particularly the most effective ones, IUDs and implants. MORE

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Your patients deserve the best

Your patients deserve the best

Learn more about the all-inclusive suite of services our expert team can provide to your health center, and discover the difference of offering your patients the best.

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Meet our team

Meet our expert team

Our mission is to increase the success of health centers and their patients by delivering comprehensive, health-center-wide training and consulting on best practices in contraceptive care.

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What our clients say…

What our clients say…

Hear in their own words why health center clinicians and staff love the hands-on assistance we provide and how it has helped them improve patient satisfaction.

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More evidence that training works

We now haven even more evidence that providing training to health centers so that they can offer same day access to implants and IUDs works. Today the Lancet, one of the most prestigious medical journals, published a study by researchers at UCSF which found that training Planned Parenthood health center staff dramatically increased the use…
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Statistically significant evidence of impact

“There were statistically significant gains in confidence and knowledge for both clinicians and support staff, with the largest gains among support staff." Upstream USA is deeply committed to measuring, iterating, and improving its intervention model so that we can deliver maximum impact. We all know that creating lasting change within the healthcare setting is hard,…
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Can you say "IUD" in Portuguese?

Upstream USA just completed the first phase of a multi-phase training and quality improvement program to reduce unplanned pregnancy at Family Health Center (FHC) of Worcester, Massachusetts. FHC is a very large, Federally Qualified Health Center in the heart of a chronically disadvantaged city, and they are deeply committed to reducing rates of accidental pregnancies. 47%…
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Aligning incentives: necessary but not sufficient

Whenever we visit a health center to see if they would be a good match for us in this first year of training and technical assistance, we thoroughly assess if they have the systems in place that will enable them to make significant change. Do they have an electronic health records system that will enable…
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A potential game changer

Medicines360, a new pharmaceutical company, just announced FDA approval of LILETTA™, a new IUD that will be available at a substantially lower cost to public health clinics who serve low-income women. Though most low-income women can already access all FDA approved contraception free of charge with no co-pay, the availability of a low-cost IUD suddenly will…
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Positive Early Data from Texas

The early data from Upstream’s first training of a health center in Amarillo, Texas shows that the health center is seeing not only a significant increase in women choosing IUDs and implants compared to the time period before the training, but these satisfied patients are telling their friends, resulting in an increase in patient volume…
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Medical body highlights barriers to effective contraception

The positive drumbeat continues: the American College of Obstetricians and Gynecologists, the governing body that recommended IUDs and implants as the most effective methods of contraception for all women, recently wrote an opinion chronicling a number of unnecessary barriers that women face in getting same-day access to these most effective methods of contraception. These included…
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Pediatricians need training on effective contraception

In a recent article in the Washington Post, reporter Shefali Luthra laments the fact that many "pediatricians and doctors aren't properly prepared to make this form of birth control available to their patients because their training did not cover insertion of the devices." The article begins with a story of a pediatrician who regularly offered the…
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UPDATE FROM ARIZONA

Update from Arizona

Upstream just returned from delivering its second capacity-building and training intervention at CARE Partnership, a health center in Mesa, Arizona, a state where 51% of all pregnancies are unintended, which translates into more than 40,000 births occurring from accidental pregnancies every year. What do these numbers translate into? We heard about one recent patient, a nineteen year…
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Healthcare for the Homeless (BHH)

A story from the front lines, this time from a new family practice physician at Boston Healthcare for the Homeless (BHH). As you may know, family homelessness is the fastest growing segment of the homeless population nationwide, and these families are overwhelmingly single mothers with a child. Excellent reproductive health services is an essential element of helping…
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