The Alliance Lift is a series that spotlights the journeys of Alliance alumni shaping health systems around the globe. In this Q&A, Ms Giulia Loffreda chats with Dr Archana Shrestha, a Nepali epidemiologist, researcher and educator whose work is reshaping how we think about prevention and implementation science in low- and middle-income countries. We asked Archana about the experiences that shaped her journey, the lessons she has learned from working closely with communities, and her vision for the future.