Our Approach to Data
Upstream employs a comprehensive, graduated approach to Monitoring, Evaluation and Learning (MEL). Our MEL efforts build on what we learn from robust monitoring and evaluation of each phase of our work to inform the next phase of evidence-building. We systematically track critical pre-, mid- and post-intervention implementation and outcomes data for each Upstream-trained health center. We assess changes in health center clinician and support staff knowledge, confidence, and behaviors associated with Upstream training; implementation progress and fidelity to model components; and change over a 12-month baseline in the contraceptive method mix during implementation and for at least 12 months following training.