As a medical doctor, Dr. Shrestha worked clinically in Nepal, mostly in the rural areas of Dolpa and Solukhumbhu for 5 years. He was part of an initiative that focused on community engagement and program management to improve health care infrastructure and development and sustain health care delivery. He is also part of the urban health and nutrition initiative that runs a small business on nutritional supplements in Kathmandu called Diet Nepal Private Ltd. Currently based in Boston, he works as a Project Manager - Asia/Africa and Researcher at the Feed the Future Innovation Lab for Nutrition, at Tufts University. He works on a USAID funded project in 13 countries, both in Asia and Africa, to generate evidence around investment in integrated interventions in agriculture, nutrition and health and how it can achieve large scale improvement in maternal and child nutrition, health and livelihood. Nepal is one of its focus countries and the projects spans 40 districts in-country. He also leads a non-profit in Nepal, Shanta Shrestha Foundation, that promotes Nepali art and literature, supports and honors unsung revolutionists, martyrs and neglected freedom fighters who have significant contribution to the present political and social change in Nepal. It has started some work on supporting the education of women from disadvantaged communities.