dieter köcher

I am a retired MD married to a Malagasy MD. Until 2018, I used to work for the German technical cooperation as a public health specialist in various African countries. I put my focus on the effectiveness, inclusiveness and also the efficiency of basic health services. Sustainability meant for me that these services were able to be maintained after the end of external support. In other words, I focused on the inner boundaries of the "Doughnut" ignoring the growing importance of the outer limits. After retirement, I had more time to read and think "out of the box". My understanding of "sustainability" became wider and more oriented towards ecological aspects.