- EMCF Evidence Base - Upstream USA - Current Grantees - Grantees - EMCF
Upstream USA

Upstream USA

The evidence is robust that training and technical assistance for family planning services can improve access to Long-Acting Reversible Contraception (LARC) and reduce unintended pregnancies. Three major independent studies of such interventions have been conducted in the last six years:

A fourth study is underway.  

Upstream's model builds on this evidence base and includes additional technical assistance for a broad range of clinic contexts.

Upstream's early results are very promising. Sample clinics for which it has longitudinal data increased average monthly LARC placements from one to 20 percent and from zero to 21 percent. In a comparison study, the rate of LARC placement at Upstream-trained sites doubled while it remained flat at comparison sites. 

Offering Women "Real Choice"

Co-founder Mark Edwards describes how the academic studies that inspired Upstream USA reduced unplanned pregnancies and abortions by 75 percent.


Upstream is planning a comprehensive evaluation of the effects of its statewide project in Delaware on access to and use of contraception, unintended pregnancy, and Medicaid costs for pregnancy­-related services.