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. 2021 Nov 9;115(1):18–33. doi: 10.1093/ajcn/nqab315

TABLE 1.

Changing the prevailing social narratives1

Prevailing narrative New narrative
“We” feed the world, often driven by the Global North. The world feeds itself: citizens and communities grow their foods with dignity, retaining rights to their products and access to markets.
Food is seen as a commodity. Healthy and sustainable diets are seen as a public good with farmers, producers, citizens, and health care professionals supported and incentivized to promote health. In addition, local and regional food systems and resilience are prioritized.
Policy addresses hunger in isolation. Hunger is addressed with a healthy, nutrient-dense diet–centered approach that addresses malnutrition in all its forms (hunger, obesity, micronutrient deficiencies).
Unhealthy, unsustainable, culturally inappropriate food choices are an unavoidable by-product of prevailing food environments, economics, and what people want to eat. Food environments enable and motivate people to eat a diversity of foods in healthy proportions, sustainably, and in culturally respectful ways.
Systems and practices treat ill-health and take a curative approach to health care provisions on diet-related health problems. Conditions promote good health and a preventative approach to health care provisions, and there is a focus on preventing diet-related diseases through healthier consumption patterns.
The responsibility falls on the individual, with little focus on addressing food environments and underlying determinants of health. Focus is on health and sustainable diets as a public good, healthy food environments, and underlying determinants of health with all food systems actors striving to make a positive contribution.
Emphasis is on a global search for single solutions. A diversity of contexts requires a diversity of solutions with multiple food systems entry points aligned by a shared food systems vision.
LMICs should not be burdened with climate mitigation when hunger is still a huge priority. All countries must contribute to climate mitigation; otherwise, we will not meet the Paris targets, and climate change's devastation will make LMIC settings worse with a limited resource base for coping strategies.

1LMIC, low- and middle-income country.