Expanding opportunity, increasing access

Nearly half of the 6 million pregnancies in the United States each year are unplanned. Upstream is a fast-growing nonprofit reducing unplanned pregnancy by expanding equitable access to the full range of contraceptive options, improving outcomes and care at health center partners that serve hundreds of thousands of patients each year. Upstream is on track to achieve nationwide impact at scale.

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We are data-driven, sustainable and committed to our partnerships

To expand equitable access to birth control, Upstream provides CME/CEU-eligible on-site training and technical assistance to health centers across an entire state at once. We meet each health center where they and their patients are, monitoring our interventions as we go. 

How we work

Our data sets us apart

After the first three years of Upstream’s partnership with the state of Delaware, there was a simulated 24 percent decrease in unplanned pregnancies among Title X patients aged 20-39.

Graph comparing the simulated 24% reduction in unplanned pregnancies in Delaware among Title X patients to the simulated 3% reduction in unplanned pregnancies among Title X patients across the U.S.

FamilyScape simulations using state-level Title X data from Delaware and from the U.S. 

Title X data, 2014-2017. Study limited to women at risk of unintended pregnancy (sexually active and not pregnant or seeking pregnancy).

Birth control decisions are personal

All patients should have access to the full range of contraceptive methods—so that they can become pregnant only if and when they want to.

Patient Choice

Birth control is not just a contraceptive, it’s your future. It is your choice. It is something that you are in control of. It’s deciding for yourself what you would like for your life and what you want it to be.”

Catiee patient

of Delaware patients made their own choices about birth control.