Of the 6.1 million pregnancies in the U.S. each year, 2.8 million are accidental. Shouldn’t our healthcare system do a better job of helping women achieve their own goals?

Upstream USA is a nonprofit organization 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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New York Times Op-ed from Governor Markell mentions Upstream USA

We've had so much to share with you over the past few weeks, but we're especially thrilled today that Delaware Governor Jack Markell has authored a bold piece for The New York Times entitled, "What States Can Do On Birth Control," describing Upstream USA's innovative public-private contraceptive access initiative with the state of Delaware. In…
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TIME publishes our op-ed, and the national spotlight on Delaware continues

The work we're doing to reduce unplanned pregnancy in the US has taken on particular importance with the heartbreaking threat of the mosquito-borne Zika virus and its link to microcephaly in newborns, and the knowledge that it will be in the continental US in force very soon. And what turns this story from tragedy to…
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Upstream USA Profiled in VOX: The IUD Revolution

We are excited to share that Upstream USA is profiled and featured in a very thorough, in-depth VOX article, “The IUD Revolution.”  The article features our latest work with Delaware Governor Jack Markell to bring same-day access to the most effective contraception in Delaware, along with a story of our very first training in Texas. We…
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Statewide plan to reduce unplanned pregnancy is officially underway

Upstream USA’s statewide initiative Delaware CAN (Contraceptive Access Now) has officially launched following Governor Jack Markell’s groundbreaking State of the State Address in which he boldly declared, “Helping women achieve their own goals of becoming pregnant only when they want to may be one of the most important things we can do to expand opportunity.”…
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Upstream USA and Delaware Governor Announce Statewide Contraceptive Access Initiative

As part of his annual State of the State address, Delaware Governor Jack Markell announced an innovative, new public/private partnership, Delaware CAN (Contraceptive Access Now). Upstream USA, a national nonprofit organization, and the Delaware Division of Public Health will ensure that all women, regardless of insurance status or where they get their healthcare, will have…
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Ashoka honors Mark Edwards; a year of progress in Texas

I am excited to share with you that my co-founder, Mark Edwards, has been named an Ashoka Fellow, joining an international network of over 3,000 of the world’s leading social entrepreneurs in 70 countries. On behalf of the entire team at Upstream USA this award is a powerful testimony to the importance of Upstream USA’s mission to…
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Upstream USA transforms another health center in New York City

We are very excited to count The Door in New York City as one of our recent clients. The Door is one of the nation's most highly-regarded adolescent and young adult centers providing a wide range of services for disconnected youth, including reproductive health, all in a completely confidential and free environment. Across all of…
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Growth, results, press and cost-effectiveness

Friends, We thought you'd be interested in our recent work. The mission of Upstream USA is to reduce unplanned pregnancy by helping women achieve their own goals and become pregnant only when they want to. We do this by ensuring health centers offer women the full range of contraceptive methods, including the most effective ones,…
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IUDs and implants: the best method of contraception

We hope you saw yesterday's front page NY Times piece, Colorado's Effort Against Teenage Pregnancies Is a Startling Success. Great visibility, and I was struck by one comment made by our close friend, advisor, and former OMB associate director Isabel Sawhill that completely aligns with our mission:   "If we want to reduce poverty, one of…
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A 700% increase in IUDs and implants

Friends, We launched Upstream USA to ensure that health centers offered their patients the ability to get any contraceptive method they wanted, on the same day they wanted it. The research showed that when women were able to choose the method they wanted with excellent, patient-centered counseling, in an environment where every option was free,…
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