Ram Shrestha has been working as a Senior Improvement Advisor in ASSIST/USAID project in University Research Co, LLC for six years. He has been work in CHW program for more 20 years. Dr. Ram Shrestha believes in System approach to improve the quality of health care. He has been working with the formal and informal health system for more than 20 years in Asian and African Countries. He has developed a conceptual framework for Community Health System (CHS)which has been used to strengthen the linkages between community and health facility in many African countries. The application of CHS model in health program has been published in Human Resources for Health.