Human and planetary health are interconnected through food and agriculture. Food production and consumption patterns continue to drive the global burden of malnutrition, diet-related disease, climate change, and environmental degradation. There is an urgent need to identify pathways for transforming agrifood systems to be increasingly healthy, sustainable, and just, but conceptual frameworks necessary for visualizing these complex relationships are limited. This systematic scoping review identified existing frameworks for analyzing human and environmental outcomes of agrifood systems and evaluated their inclusion of policy and governance. Frameworks have evolved to increasingly consider the food supply chain activities and actors, the drivers that shape them, and the outcomes of these interactions. The findings of the review were used to develop a conceptual framework specific to modern industrialized agrifood systems where policy landscape is an explicit component. The framework is tailored to researchers and policymakers with the intention of providing a foundation for analyzing and communicating agrifood system issues, including identifying facilitators and barriers to effective policy, places to intervene in the system, and windows of opportunity for successful transformation.
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