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?

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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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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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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