In May 2009, a video featuring Namrata Shrestha and a DJ was circulated widely via mobile phones and the internet. At the time, Nepal was a deeply conservative society, and the leak led to intense public scrutiny and "slut-shaming" of the actress.

Let’s build a community of safety, not shame. #NamrataOnHealth

During her tenure as Miss Nepal, Shrestha's "Beauty with a Purpose" project focused on community development and health. While she has worked on diverse infrastructure projects, such as bridge building in rural areas, her overarching message has consistently championed . Impact on Nepalese Society

: Encouraging people with multiple partners to know their status.