The LEPS team

Laurence FOND-HARMANT

PhD - HDR Directrice de Recherche

I lead national and international research projects (Europe and Africa) on e-health and psycho-social approaches and/or policies in public health, psychiatry and mental health.
Areas of work /Vulnerable population, social inequality of health, health promotion, analysis of professional practices, program evaluation.

Activités récentes :

Publications récentes : 1. Kane, H., Gourret Baumgart, J., Fond-Harmant, L. & Denis, F. (2022). Usages des outils numériques en psychiatrie et santé mentale face à la COVID-19 en Europe. Santé Publique, 34 https://doi.org/10.3917/spub.220.0002c

2. Gourret Baumgart, J., Kane, H., Denis, F. & Fond-Harmant, L. (2022). Travailler en contexte d’incertitudes : l’expérience des professionnels de la santé mentale face à la COVID-19. Santé Publique, 34 https://doi.org/10.3917/spub.220.0009e

3. Gourret Baumgart, J., Kane, H, Absil, G., Deloyer, J., El-Hage, W., Fuenzalida, C., Gavrila-Ardelean, Krzysztof, K., Le Saint, L., Marazziti, D., Moraitou, M., Reunanen, M., Rexhaj, S., Thome, J. Fond-Harmant, L., Denis, F. 2022, Lessons learned from the Covid-19 crisis : recommendations for action to optimize occupational health in mental health professionals in Europe, Clinical Neuropsychiatry, 19(4) : 220-229.

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Frédérique TREVIDY

Chercheuse associée au Laboratoire Educations et Pratiques de Santé (Leps) UR 3412 Docteure des sciences de l’éducation ; Directrice du pôle ingénierie sociale de l’ALFI

Having defended my doctoral thesis at LEPS in December 2013, I have been an associate researcher there since then. My research is conducted in the framework of a partnership between LEPS and ALFI, which is an association of the Arcade Vyv group (a social housing group composed of several HLM organizations).
My research themes deal with the construction of an identity relationship between the person and his/her housing, formalized by the concept of "Identity-Housing. The approach is constructivist and is in line with the ecological and systemic model of environmental psychology, placing the individual and his or her dwelling at the center of an environment, with which he or she will interact, develop learning and projections. Our research method is collaborative and involves the people concerned (residents, tenants, social and health workers) in the protocol. We explore the mechanisms of identity construction (cognitive processes, learning, feelings of identity) and propose intervention methods and tools for professionals and tenants in social housing. For example: a person-centered education model, transferable to social housing enterprises, to prevent falls among elderly tenants. Or the proposal of a reflexive tool allowing to question and to make evolve the accompaniment of the residents in boarding houses (identification of conversion factors favouring or limiting the development of housing-identity capabilities).

Activités récentes : Collaborative research with boarding house residents:

Havez, F. (Director). (2020). Housing first: A collaborative research [Documentary]. https://vimeo.com/473315084

Havez, F. (Director). (2022). Outside-In [Documentary]. https://www.allocine.fr/film/fichefilm_gen_cfilm=305362.html

Publications récentes : Trévidy F, Benoist Y, Cocot JP, Cuvilliez P, Le Guen M, Niati A, Gervais M, Petitot, C, et Gagnayre R. Construire son identité-logement après un parcours sans domicile : une recherche participative en pension de famille. RFAS. 2022;juillet-septembre(3).sous presse

Trévidy F, Torrot-Arrocet D, Brunie V, Peyronnie MM, Wolfrom J, Brugidou G, et Gagnayre R. Étude sur la transférabilité d’une intervention d’éducation en santé dans le parc HLM : une méthode de recherche à l’épreuve du transfert pour décrire autrement les fonctions-clés: Global Health Promotion [Internet]. 12 avr 2021 [cité 14 avr 2021]; Disponible sur: https://journals.sagepub.com/eprint/ZZEMY4WX2WAWISJVZXDR/full

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Maria Grazia ALBANO

Professeur Associé - Département Interdisciplinaire de Médicine - Université de Bari - Italie

Associate Professor of History of Medicine (and patient education) for medical and surgical undergraduate courses in English and Italian (in Bari and Taranto)
Also teaches in specialization schools (in Bari) in:
- Pediatric Dentistry since AA 2020/21
- Oral Surgery since AA 2020/21
- Orthodontics since AA 2020/21

Activités récentes : - Director of the Center for Health Sciences Education at the University of Foggia (established February 26, 2003)
- Member of the Puglia Regional Council for Health Education (2009), delegated by the Rector of the University of Foggia
- Member of the revision group (for course SRV) of the CdL Dieticians of the University of Foggia (AA 2013-14)

Coordinator:
- experimental parallel program at the Faculty of Medicine of Bari from 1988 to 1994
- advanced courses in health sciences pedagogy at the Faculty of Medicine of Bari and in patient education and tutoring for health professionals at the Faculty of Medicine of Bari and Foggia
- the International Master in Therapeutic Patient Education at the Faculty of Medicine in Foggia (DM 08-05-2001 n° 115 art.10) - A.A. 2003/04
- the Observatory Group for Didactics at the Faculty of Medicine in Bari - from the 1997 to 2002 academic year, with particular responsibility for the pedagogical training of the Faculty's teaching staff
- the Technical College for the university retraining course for health science degrees 2008-2009 (minutes CdF 30.3.2009)

Teaching missions as part of international cooperation: Tirana 1992 and 1993; Tirana Budapest 1993, Maastricht, 1993, Valladolid, Spain, 2001
Consulting activities
- For the "Canale Parallelo" (Parallel Channel) project at the Faculty of Medicine, "La Sapienza" University - Rome - during the 1993/94 academic year
- For the "Family Practice Program Development in Russia" project, Leiden, 17-21/3/1997
- Expert of the Standing Conference of Presidents of the Council of Specialized Degree Courses in Medicine and Surgery for the five-year English program (year 2002)
- Member of the External Advisory Committee of the Faculty of Health Sciences, University of Beira Interior - Portugal (September 2002 to 2006)

Publications récentes : -Albano M.G., Jacquemet S., Assal J.P., “Patient education and diabetes research: a failure!”, Acta Diabetologica, vol. 35 n. 4 1998, pp.207-214
-Albano M.G., Crozet C., d’Ivernois J.F., Analysis of the 2004-2007 literature on therapeutic patient education in diabetes: results and trends, Acta Diabetologica, 2008, 45: 211-219
- Albano M.G., Deccache A, Godibile A, d'Ivernois JF, Studies on therapeutic patient education in chronic diseases : a survey of literature from 1999 to 2009, Therapeutic Patient Education, EDP Sciences, vol.1 n.2, oct 2009, pp s 101-108
- Albano M.G. , Giraudet-Le Quintrec J.S., Crozet C., d’Ivernois J.F., Characteristics and development of therapeutic patient education in rheumatology : analysis of the 2003-2008 literature, Joint Bone Spine, octobre 2010, vol.77, n.5, p.377-492, Reference: BONSOI3202, PDF offprint dispatch: 14-10-2010
- d’Ivernois JF, Albano MG, Les axes de recherche en éducation thérapeutique du patient, Revue du rhumatisme monographies, Elsevier, 2013;80:184-7
- Albano MG, Jourdain P, De Andrade V, Domenke A, Desnos M, d’Ivernois JF, Therapeutic patient education in heart failure: do studies provide sufficient information about the educational programme?, Archives of Cardiovascular Disease, Elsevier, 2014 , 107(5):328-39. vol. 6, p. 1-10,
- Albano MG, Levy G, de Andrade V, d’Ivernois JF, Patient education in dental medicine: A review of the literature, Eur J Dent Educ. 2019; 23:110–118.2018 DOI: 10.1111/eje.12409
- Albano MG, Gagnayre R, De Andrade V, d’Ivernois JF, L’éducation précédant la sortie de l’hôpital: nouvelle forme d’éducation thérapeutique. Critères de qualité et perspectives d’application à notre contexte., Recherche en Soins Infermiers, 2020/2, n°141, pag 70-77, ISSN 0297-2964

- Albano MG, d’Ivernois JF, Langlume L, Alouah M , de la Tribonnière X, L’effet de Halo : quand les patients éduqués éduquent à leur tour leurs aidants, Educ Ther Patient/Ther Patient Educ, EDP Sciences, vol. 13, n.1, 2021, ISSN: 2100-0808

- Riquet S., Albano MG, Mémoli N., Zakarian C., de la Tribonnière X., Préparation à la naissance et à la parentalité : l’effet de Halo ou quand les femmes enceintes éduquées éduquent à leur tour leur conjoint, Educ Ther Patient/Ther Patient Educ, EDP Sciences, vol. 14, n.2, 2022 DOI: 10.1051/tpe/2022007

-Albano MG, de Andrade V., Que dit la recherche francophone sur l’ETP à domicile? Educ. Ther. Patient/Ther. Patient Educ., EDP Sciences, vol.15, n.2, 2023

- Albano MG, De La Tribonniere X, Bernat C, Coudrat A, Kerever S, Chiron R, L’effet de Halo dans la mucoviscidose : quand les patients adultes et adolescents éduqués, éduquent à leur tour leurs aidants, Educ Ther Patient/Ther Patient Educ, vol.16, n.2, 2024
https://doi.org/10.1051/tpe/2025002

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David NAUDIN

Membre associé à la chaire recherche Sciences Infirmières ; Docteur en sciences de l’éducation ; Adjoint du directeur de l’Institut de Formation des Cadres de Santé Coordonnateur du Pôle de la Recherche Paramédicale en Pédagogie du CFDC Pôle Numérique de la Formation – Innovation digitale

David Naudin's work focuses on characterizing the phenomenon of therapeutic compliance and non-compliance in patients with chronic illnesses, using cognitive psychology and neuroscience. His thesis in educational science, under the supervision of Prof. Rémi Gagnayre and Prof. Gérard Reach, entitled "Importance des Fonctions exécutives dans l'observance thérapeutique chez les patients présentant un diabète de type 1" (Importance of executive functions in therapeutic compliance in patients with type 1 diabetes), contributes to a better understanding and characterization of the mechanisms underlying the compliance process in patients with type 1 diabetes.

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Simon-Decap MABAKUTUVANGILANGA NTELA

Professeur associé à la chaire Recherche Sciences Infirmières ; directeur de l'Ecole doctorale ISTM Kindu

Nurse, PhD,
Public Health - Nursing Sciences
Institut Supérieur des Techniques Médicales de Kinshasa
Democratic Republic of Congo

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Christine AMMIRATI

PU associée - PH

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Paul QUESNAY

Docteur en sciences de l’éducation et de la formation, Ostéopathe DO

QUENAY Paul (Bobigny, France) is an osteopath with a doctorate in education and training. His work focuses on curriculum changes and how to support these changes in healthcare training. He is particularly interested in the implementation of the Approche Par Compétences (APC) and its consequences for individuals, groups and organizations.

Activités récentes : Coordinator, Head of Research for the ANR AVENIR(s) program (France 2030) for the Polytech partnership foundation

Publications récentes : Quesnay, P. Margat, A. (2024) L’Académie Populaire de la Santé, une formation en promotion de la santé par et pour les personnes concernées : proposition d’une meilleure prise en compte des principes de justice épistémique. Education et Socialisation, 74.
Quesnay, P., Poumay, M., & Gagnayre, R. (2022). Accompagner la mise en œuvre de l’approche par compétences dans les formations en santé : Perspectives d’une stratégie de changement pragmatique portée par un individu tercéisateur dans un institut de formation en ostéopathie. Pédagogie Médicale, 23(1), 49‑67. https://doi.org/10.1051/pmed/2022001
Quesnay, P., Cailhol, J., & Falgarone, G. (2021). Osteopathic Manipulative Treatment for Chronic Low Back Pain. JAMA Internal Medicine, 181(8), 1143. https://doi.org/10.1001/jamainternmed.2021.3183
Quesnay, P., Poumay, M., & Gagnayre, R. (2021). How does French initial osteopathic training value relational competency, patient education, and the competency-based approach ? A cross-sectional survey. International Journal of Osteopathic Medicine, 42, 43‑50. https://doi.org/10.1016/j.ijosm.2021.10.002
Quesnay, P., & Gagnayre, R. (2015). Enquête sur la pratique du conseil auprès des ostéopathes français : Vers une pratique d’éducation thérapeutique ? Education Thérapeutique du Patient - Therapeutic Patient Education, 7(1), 10105. https://doi.org/10.1051/tpe/2015003

Email : 0000-0001-8178-1010

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Jérome FOUCAUD

Docteur en sciences de l’éducation ; Responsable du département SHS et santé publique à l’institut national du cancer

With a doctorate in educational sciences, I have been head of the SHS and public health department at the French National Cancer Institute since 2017, where I am responsible for developing research and directing studies. Author of some sixty publications, my work focuses on the analysis of health perceptions, health education interventions and therapeutic education.
As a lecturer at Bordeaux University in M2 health psychology, M2 health promotion and M2 health promotion at Lyon 1 University, I teach therapeutic education, project methodology and prevention policies.

Activités récentes : Chairman of Promotion santé Ile de France - member of the Board of Directors of UNIRES, - member of the Haut Conseil de la Santé Publique (High Council for Public Health)

Publications récentes : Khalis M, Elbadisy I, Bouaddi O, Luo A, Bendriouich A, Addahri B, Charaka H, Chahboune M, Foucaud J, Badou A, Belyamani L, Huybrechts I Cluster analysis of cancer knowledge, attitudes and behaviors in the Moroccan population BMC Cancer. 2024; 24: 669. Published online 2024 Jun 1. doi: 10.1186/s12885-024-12226-5PMCID: PMC11143602

Guillemin, A. F., Cervenka, I., & Foucaud, J. Recherche interventionnelle et dispositifs de soutien aux personnes touchées par un cancer et leur entourage: résultats d’une analyse descriptive Intervention. 2023. Psycho-Oncologie, 17(3), 11, p.114-121. https://www.sciencedirect.com/org/science/article/pii/S1778379823000106


Faury, S., Aurouet, P., Quintard, B., & Foucaud, J.
A Systematic Review on Reporting of Methods in National Surveys about Adults' Attitudes to Lifestyle and Environmental Risk Factors for Cancer. 2023. International Journal of Environmental Research and Public Health, 20(9), 5755, p. 1-22.

Le Mao, R., Tromeur, C., Lacut, K., Couturaud, F., Foucaud, J., & Leroyer, C. Attentes des patients asthmatiques vis à vis de leur prise en charge. Revue Française des maladies respiratoires. 2021, p 514-523
https://www.sciencedirect.com/science/article/abs/pii/S0761842521001637

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Aude-Marie FOUCAUT

Chercheure associée, spécialiste de l'Activité Physique Adaptée et Santé (APA-S) ; HDR

I carry out my research in the field of Public Health in order to evaluate - beyond the effect of physical activity - its feasibility, obstacles and facilitators in the field of health.

Activités récentes : Active lifestyle is a complex health behavior, determined by numerous factors at micro, meso and macro-environmental levels. Our current research aims to increase our knowledge of these factors, and to explain them within ecological models. Thanks to the experience acquired at the Health & Wellness Lab of the University of Calgary (Alberta, Canada) during a CRCT from 2022 to 2023, and building on the results of previous studies, we are in a position to implement projects based on implementation science, with large patient samples, in France. We will then be able to document variables that are unfortunately still under-evaluated in multimodal programs promoting physical activity in secondary and tertiary prevention, such as acceptability, adoption, feasibility, fidelity, safety, reach, sustainability, integration into the care pathway, and cost.

Publications récentes : Ouvrage :
- Foucaut A-M (coord), Chapelot D, Vergnault M, Landry A, Ordonnances en Activité Physique Adaptée : 100 prescriptions, Paris, Maloine, 2nde édition, 2024. 584 pages

Chapitre d’ouvrage :
- Foucaut A-M, Activité physique, santé et éducation thérapeutique du patient chronique, in 4ème éd. Education thérapeutique – Prévention et maladies chroniques, coord. Simon D, Bourdillon F, Popelier M, Grimaldi A, coll. Abrégés de médecine, Paris, Elsevier Masson, 19 août 2020. pp. 219-233.
- Foucaut A-M, Accessibilité des pratiques sportives pour toutes et tous et inclusion par le sport, in Guerriers pacifiques, l’épopée du Sport à travers l’Histoire, coord. Sallem R, Delattre V, éditions CAPSAAA/INRAP/IPSEN, coll. Défis de civilisation, Paris, sortie prochaine

Articles de recherche :
- Aumaitre A, Gagnayre R, Foucaut A-M, Analyse qualitative des facteurs influençant le style de vie actif dans l’après-cancer en France métropolitaine, Bulletin du Cancer, 2025, online first
- Foucaut A-M, Aumaitre A, Gagnayre R, Implémentabilité de l’intervention multimodale sur les DEterminants et Facteurs de l’ACTivité physique après les traitements en Oncologie (DEFACTO2), Cahiers de Nutrition et de Diététique, 2025, 60 : 110-123
- Aumaitre A, Gagnayre R, Foucaut A-M, Determinants and factors of physical activity after oncology treatments (DE FACTO) in metropolitan France: Study protocol of mixed method study, JMIR Research Protocols, 2024, 13:e52274
- Aumaitre A, Gagnayre R, Foucaut A-M, Determinants and factors of physical activity and sedentary behaviors among post-treatment breast, colorectal, lung, and prostate cancer survivors living in France: results from the DEFACTO study first phase, Patient Education and Counselling, 2024, 124:108273
- Wagoner CW, Dreger J, Keats MR, Santa Mina D, McNeely ML, Cuthbert C, Capozzi LC, Francis GJ, Trinh L, Sibley D, Langley J, Chiekwe J, Ester M, Foucaut A-M, Culos-Reed SN. First year implementation of the EXercise for Cancer to Enhance Living Well (EXCEL) study: Building networks to support rural and remote community access to exercise oncology resources. International Journal of Environmental Research and Public Health, 2023, 20(3), 1930 (IF 4.614 – Health, Toxicology and Mutagenesis Q2)

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Monique ROTHAN-TONDEUR

Professeure associée honoraire

Former Director of the Nursing Sciences Research Chair
Doctor Hororis Causa of the University of Kindu (DRC -2022)
Honorary Associate Professor, Université de Montréal
Visiting professor at Kindu University (DRC)
Visiting professor at ISTM, Kindu (DRC)
Visiting professor at ISTM, Kinshasa (DRC)

Activités récentes :

Publications récentes : Liste des publications sur PubMed : https://pubmed.ncbi.nlm.nih.gov/?term=rothan-tondeur+m

Email : rothan-tondeur@univ-paris13.fr

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Albane AUMAITRE

PhD

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Julien BOUIX

PhD

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Valérie LOIZEAU

Docteur en sciences infirmières ; Directrice de la chaire Recherche Innovation et Pratiques en Soins (AP-HP)

Holder of the Research Chair in Innovation and Care Practices - Interface between Assistance Publique-Hôpitaux de Paris and Université Sorbonne Paris Nord

Activités récentes : Associate researcher at EUR-SIeSP - Qualified in Nursing Sciences CNU 92
Master's coordinator for Quality and Safety in Care Pathways - LEPS
UE and USPN course leader

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Dominique POUGHEON BERTRAND

PhD Santé Publique, Chargée de recherche et d’enseignement

Dominique Pougheon Bertrand is developing research in the field of rare diseases, and more specifically cystic fibrosis, on patient partnership in quality and safety approaches to care pathways, on collecting and taking into account patient experience to improve care and health pathways, and on innovative practices promoting patient empowerment and participation in their care, such as the integration of connected objects in patient care and health.

Activités récentes : Teaching part :
Coordinator of the Master 2 in Healthcare Quality and Safety
Coordinator of the Master 2 in Care Quality and Safety as part of the partnership between USPN and IFCS AP-HP
Lecturer in several teaching units of the Master1, DE IPA and DFGSM courses on the themes of patient partnership and improving the quality and safety of care pathways.

Research part:
As part of two successive grants obtained from the IReSP (2019) and the ANR (SAPS-RP1-RA 2022), I am coordinating a research program on characterizing the patient experience of health and life paths with cystic fibrosis, leading to the definition of a conceptual framework and questionnaires for collecting patient experience, and their testing in a selection of study sites, resource and skills centers and patient associations, to assess their feasibility and usefulness in improving the quality of care and patient experience.

Publications récentes : 1. Belgodère L, Pougheon Bertrand D, Jaulent MC, et al. Patient and public involvement in the benefit–risk assessment and decision concerning health products: position of the Scientific Advisory Board of the French National Agency for Medicines and Health Products Safety (ANSM). BMJ Global Health 2023;8:e011966. doi:10.1136/bmjgh-2023-011966

2. D. Pougheon Bertrand, A. Fanchini, P. Lombrail, G. Rault, A. Chansard, N. Le Breton, C. Frenod, F. Milon, C. Heymes‑Royer, D. Segretain, M. Silber, S. Therouanne, J. Haesebaert, C. Llerena, P. Micheland and Q. Reynaud. A conceptual framework to develop a patient-reported questionnaire on the cystic fibrosis care pathway in France: the ExPaParM collaborative study. https://ojrd.biomedcentral.com/articles/10.1186/s13023-023-02640-6.

3. Morsa M, Perrin A, David V, Rault G, Le Roux E, Alberti C, Gagnayre R, Pougheon Bertrand D. Does the use of connected devices contribute to the empowerment of patients with cystic fibrosis for the management of their pulmonary exacerbations? A grounded theory from the MucoExocet study. JMIR Formative Research Accepted 25 oct 2022. doi: 10.2196/38064

4. M Benbouaziz, R Cohen, JB Senegas, M Rousselle, G Guerni, A Cheik Mohamed, J Robert, JM Catheline, G Des Guetz and D Pougheon Bertrand. Préparation diététique à la chirurgie bariatrique par visioconférences pendant la crise sanitaire Covid-19 et perspectives. Educ Ther Patient/Ther Patient Educ, 14 2 (2022) 20202. DOI: https://doi.org/10.1051/tpe/2022009

5. D. Pougheon Bertrand, A. Fanchini, P. Lombrail, G. Rault, A. Chansard, N. Le Breton, C. Frenod, F. Milon, C. Heymes‑Royer, D. Segretain, M. Silber, S. Therouanne, J. Haesebaert, C. Llerena, P. Michel and Q. Reynaud. Collaborative research protocol to define patient‑reported experience measures of the cystic fibrosis care pathway in France: the ExPaParM study. Orphanet Journal of Rare Diseases (2022). https://doi.org/10.1186/s13023-022-02204-0

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Imani RAMAZANI

Professeur associé, Docteur en Santé Publique et en Sciences Infirmières

- I am an associate professor at the Institut Supérieur des Techniques Médicales in Kindu, Democratic Republic of Congo, where I teach courses in nursing, reproductive health and public health.
- I am a visiting professor at several Congolese universities (University of Kindu, School of Public Health of the University of Kinshasa, Modern University of Kinkole, Adventist University of Goma), where I teach courses in public health and reproductive health.
- Chairman of the ISTM-KINDU Health Ethics Committee
- In charge of international and inter-university cooperation at ISTM-KINDU: DR-Congo

Activités récentes : - Participation in the training seminar on international cooperation organized by the French Embassy in Campus France and the Institut Français, from September 22 to 25, 2025 in Kinshasa.
- Participation in the 6th edition of the Salon de l'Etudiant with ISTM KINDU stand, in cooperation with the Université Sorbonne Paris Nord, the French Embassy in Campus France and the Institut Français, from September 26 to 27 in Kinshasa.
- Participation in the 9th World Congress of SIDIIEF from June 2 to 5, 2025 in Lausanne, Switzerland, with a poster presentation on the theme of "Les raisons de la prise de décision tardive des femmes enceintes de demander des soins obstétricaux au début du travail d'accouchement: une étude qualitative".
- Since October 2025, I have been Chairman of the ISTM-KINDU Research Ethics Committee and in charge of ISTM-Kindu's international and inter-university cooperation.

Publications récentes : - Bin-Eradi IMANI RAMAZANI, Rita Georges NOHRA, Simon-Decap MABAKUTUVANGILANGA, Monique ROTHAN-TONDEUR (2025). Les raisons de la prise de décision tardive des femmes enceintes de demander des soins obstétricaux au début du travail d’accouchement : une étude qualitative : ReAScI HS N°1 | 2024 9 ième Congrès Mondial du SIDIIEF - L’innovation infirmière moteur des transformations en santé – 2025, https://www.unilim.fr/reasci - ISSN : 3076-1328
- Ramazani, I. B.-E., Ntela, S.-D. M., Ahouah, M., Ishoso, D. K., Rothan-Tondeur, M. (2022). Maternal mortality study in the Eastern Democratic Republic of the Congo. BMC Pregnancy and Childbirth, 22(1).22 (1), 452.
- Imani Ramazani, B.-E., Mabakutuvangilanga, S.-D., Katuashi Ishoso, D., Rothan-Tondeur, M. (2023). Knowledge of Obstetric Danger Signs among Pregnant Women in the Eastern Democratic Republic of the Congo. International Journal of Environmental Research and Public Health, 20(8).

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