Issues: Latvia has one of the highest alcohol per capita consumption in Europe.This study provides a narrative review of all evidence-based population-level alcohol control policies implemented in Latvia during the past 30 years.Approach: A review of country-level alcohol control policies implemented in Latvia between 1990 and 2020 was conducted. The World Health Organization's "best buys" and other recommended interventions for alcohol control were used to guide the search. Key Findings: Alcohol control policies in Latvia have evolved significantly over the last three decades. The most changes to alcohol control policy occurred in the transitional period between regaining independence in 1991 and joining the European Union in 2004. A number of significant alcohol control policies have been implemented to reduce alcohol availability and affordability, to restrict alcohol marketing and to counter drunk-driving. However, since 2010, when an increasing trend of alcohol consumption was observed, there has been a reluctance to pursue national public health policy actions to reduce alcohol consumption, and few adjustments to legislation to increase alcohol control have been made. Implications: Despite the progress in alcohol control, Latvia still has considerable potential for strengthening alcohol control to reduce the high levels of alcohol consumption. Conclusion:Although several alcohol control policies have been established in Latvia, many of the planned activities to limit alcohol intake and related harm have not been executed. Public health goals rather than political and economic incentives should be prioritised to reduce high levels of alcohol consumption in Latvia. K E Y W O R D S advertisement, availability, drunk-driving, taxation Key points• Between 1990 and 2020, a number of alcohol control policies were implemented, including excise taxation, availability restrictions, advertising bans and drunk-driving legislation in Latvia.

In the rapidly progressing world where different sectors become more interconnected, cross-sectoral cooperation in health promotion lacks a specific set of instruments, navigating partners through the cooperation process in project implementation. Cross-sectoral cooperation is an everyday practice in business and has become an integral part of promoting health and wellbeing comprehensively and sustainably. In this paper, we propose a developed Model for cross-sectoral cooperation, which has been designed within the Interreg Baltic Sea Region project “Urban Labs for Better Health for All in the Baltic Sea Region” (Healthy Boost), aiming to boost cross-sectoral cooperation for health and wellbeing in cities and municipalities. The Model is developed based on literature research and self-assessment of cross-sectoral cooperation for health promotion in Healthy Boost partner cities and municipalities in Latvia, Poland, Russia, Finland, Estonia, Lithuania, and Sweden. Composed of five major domains (risk identification, leadership, coordination, communication, and motivation) and four stages of cooperation (mapping, planning, implementation, and assessment), it provides a checklist of helpful questions for identifying solutions effectively and systematically. The Model can be used both as a navigational tool and as an “emergency” tool to manage cross-sectoral cooperation challenges successfully.

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In health promotion practice, resources often are limited, and problems are complex. Cross-sectoral cooperation is a collaborative effort in which partners from different sectors pool their resources to provide joint solutions for better health promotion; however, the general framework on how to proceed the cooperation is often missing. The Interreg Baltic Sea Region project “Urban Labs for Better Health for All in the Baltic Sea Region” (Healthy Boost) aims to boost the cross-sectoral cooperation for health and wellbeing in cities and associated partners from nine countries in the Baltic Sea Region by developing and testing the Model for the cross-sectoral cooperation. The Model was developed searching the published scientific literature and considering the results of a self-assessment of cross-sectoral cooperation for health promotion in the Healthy Boost partner cities. Discussions on the Model draft were organized by using face-to-face meetings and e-tools in order to develop the Model for piloting. Theoretical frameworks of cross-sectoral collaboration, including organization theory, public administration theory, leadership and strategic management theory, were used to select the major components for the Model. The partners' self-assessment results identified the gaps in several strategic and operational domains of cooperation, such as (1) leadership, (2) communication, (3) coordination, (4) motivation, and (5) risk identification. In the first Model draft, the starting point for cross-sectoral cooperation was the stages (mapping, planning, implementation, assessment) of cooperation; however, municipalities preferred to focus on domains which were developed under the stages of cooperation process in the final Model. Both evidence-based knowledge and participation of municipalities are crucial when developing the Model cross-sectoral cooperation. The Model should guide all partners for better cooperation by using a systematic approach. Key messages The Model to promote cross sectoral cooperation is being developed for testing in health promotion practice by the cities of the Baltic Sea Region. The developed Model of cross-sectoral cooperation provides relevant guiding questions for the key domains of cooperation that should boost the municipalities for better health promotion.