Upstream USA

Upstream USA is a U.S. nonprofit healthcare organization focused on expanding access to equitable, patient-centered contraceptive care. Rather than developing drugs, it partners with healthcare organizations to improve contraceptive counseling, workflow, clinical training, reimbursement readiness, and same-day access to the full range of contraceptive methods, including long-acting reversible contraception. Its program is delivered at no cost to partner organizations and combines practice transformation, staff education, technical assistance, data tools, and policy engagement. Upstream primarily works in primary care and related healthcare settings, with a nationwide footprint spanning dozens of states and hundreds of healthcare organizations. The organization is best understood as a reproductive health services and implementation partner rather than a biotech or pharmaceutical developer.