Experience the Advantage and Offer Your Patients The Best Contraceptive Care

Upstream USA℠ delivers CME/CEU-accredited, on site, technical training and consulting so that health centers can offer their patients same day access to the full range of recommended contraceptive methods, including IUDs and implants.

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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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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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How Upstream is Making a Difference in Texas

How Upstream is Making a Difference in Texas

This, from Carolena Cogdill, the CEO of Haven Health Center in Amarillo, Texas – our first client: "After your training, we do so many things differently. Every day now we have women coming in and telling us, 'Thank you for telling me about the IUD and implant, I didn't know they existed, they sound better than the pill…
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How Teen Birth Rates in the US Compare to Other Countries

And recently, a piece in the Atlantic, "Implants and IUDs are the New Pill", has dramatic graphs showing how the teen birth rate in our country is extraordinarily higher than other countries, but also shows what would happen if health centers around the country adopted practices pioneered by Dr. Jeff Peipert at Washington University. The…
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The True Cost of Unplanned Pregnancy

There is growing interest in the important role unplanned pregnancy plays in derailing the life trajectories of women and men, and the coverage is growing. This week, the American Academy of Pediatrics, the most influential body in pediatric medicine, released a report stating that IUDs and implants "should be considered the first-line contraceptive choices for adolescents." This…
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Opening the Door in Illinois

At the request of the Illinois Department of Healthcare and Family Services, the state agency responsible for providing healthcare for adults and children on Medicaid for all of Illinois, we just delivered a webinar for more than 150 providers and healthcare professionals to describe how to do state-of-the-art family planning services. You can review the slides here.…
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Results of First Training Event in Texas

We're very pleased with the early response to our first training and technical assistance intervention in Texas, and we will be gathering monthly data about the contraceptive method mix and patient satisfaction for another year. There are still plenty of challenges in Texas, but this early feedback is quite encouraging. We'll be doing our second…
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