Exponential growth

Founded in 2014, Upstream is already working at scale and seeing evidence of measurable results that are sustained long after our intervention is delivered.

Our goal is to work with health centers across four states that serve over 1 million women annually

Upstream is poised to increase the current scale of its intervention nationwide and empower millions of women to decide if and when they want to become pregnant.

Upstream’s model has been delivered to more than 3,000 clinicians and support staff at 180 sites across seven states and one U.S. territory. These numbers include our 2014 and 2015 pilot projects in Ohio, New York, and Arizona, Delaware CAN, and trainings provided in Puerto Rico as part of the CDC’s emergency response to the Zika virus. In total, Upstream has delivered its training and technical support to health centers serving over 150,000 women of reproductive age annually.

By providing deep, but time-limited engagements with existing healthcare practices across entire states, Upstream is able to deliver lasting and sustainable change

Upstream intervention timeline

An example timeline of a 12-18 month health center engagement with Upstream, which results in sustained practice change.

Upstream’s systems-change approach has enabled us to embed best-in-class contraceptive care into our immediate postpartum setting. Because they provided detailed, hospital-wide solutions for every barrier we faced—and helped us hardwire them into our practice—it is now the default way for us to provide care. On our own now, we are able to ensure our new moms can leave with the contraceptive method of their choice. Upstream has given us the tools, and we can now do this on our own going forward. Literally generations of Delaware mothers will benefit from this one-time partnership.”

Robert Monaghan III, Director of Maternal Child Health, Nanticoke Memorial Hospital

Upstream’s one-time, systems-level intervention creates continued measurable change long after the intervention is over

Nearly five years after working together, healthcare partners who were not able to offer the full range of methods prior to our work, continue to provide best-in-class contraceptive care. Importantly, patient survey results to date indicate that over 99% of patients in Delaware either made their own decisions about contraceptive methods or shared decision-making with their provider.

Cumulative number of IUDs and implants provided at The Door

Three and a half years after completing our work at The Door, a health center in New York City, the practice change as a result of our intervention has been sustained as women continue to access LARC.