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This article focuses on local stakeholders’ (policy-makers and decisionmakers, administrators and practitioners) attitudes towards effective health promotion policy measures in physical activity and healthy eating for children and youth. A qualitative study using semi-structured interview method was performed with 12 representatives of the Klaipeda city, Kaunas and Jurbarkas districts municipal institutions in July – September, 2013, implementing the international healthy eating and physical activity in a local communities’ project (HEPCOM). Based on the results, stakeholders in planning health promotion activities in physical activity and healthy eating for children and youth mainly apply policy development, strategic planning, action planning and implementation measures, however, they face the use of evaluation measures. The key prerequisites for the development of health promotion activities in physical activity and healthy eating for children and youth at the local communities include targeted health policy strategy and the priorities identified at the national level, inter-institutional cooperation, cross-sectoral activities, the availability of information on best practice interventions and their evaluation tools, as well as human, financial and information resources.