Expanding opportunity, increasing access

Nearly half of the 6 million pregnancies in the United States each year are unplanned. Upstream USA works to expand opportunity by reducing unplanned pregnancy across the U.S. We work in partnership with health centers to strengthen reproductive care and autonomy, and increase equitable access to the full range of contraceptive options. Upstream is on track to achieve nationwide impact at scale.

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Contraceptive access during COVID-19

Thank you to all of the healthcare heroes on the frontline working diligently to help and heal our communities during this unprecedented time. We are grateful for your service. We’ve compiled several strategies to ensure that the contraceptive needs of your patients can still be addressed while you work to manage the COVID-19 outbreak.


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.”

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of Delaware patients made their own choices about birth control.