She played a key role in women social welfare activities initiated by the presidency.

Thereafter, she worked as a lecturing tutor at the Department of Burmese Language and Literature.

[2] She continued her graduate studies at the Delhi School of Social Work through a scholarship, earning a Master of Arts degree with a specialty in juvenile delinquency.

Their marriage needed a special dispensation from Jawaharlal Nehru per Indian law, because Narayanan was in the IFS and she was a foreigner.

[citation needed] Usha, who suffered from Alzheimer's disease for the last few years of her life, died at the age of 86 on 24 January 2008 at 5:30 pm, at Sir Ganga Ram Hospital.