Background -

Respondent's name:	Beekmann, Lauri
Respondent's country:	Estonia
Respondent's e-mail address:	lauri@ave.ee
Respondent's telephone number:	3725261884
Respondent's fax number:	No data entered
Respondent's present work:	Manager/Administrator
Organisation, position, address (name and number of street, postal code, town):	Estonian Temperance Union, executive director, Mere pst 20, 10111, Tallinn. www.ave.ee
Organisation website:
Are you a government employee?	No
Professional qualifications:	journalist
Number of years in employment in your professional area:	6
Self-rating of expertise level in the area of alcohol control policy in your country (1 is slightly conversant, 10 is fully conversant): 6
Self-rating of expertise level in the area of the prevention of the harm done by alcohol in your country (1 is slightly conversant, 10 is fully conversant): 7
If you are answering for a jurisdictional region rather than as a country as a whole, which jurisdictional region is it?	No data entered
If this questionnaire was completed with the collaboration of other people, provide organisational reference(s) for each participant. Organisational references: Estonian Temperance Union Kuressaare city government
Provide organisational reference(s) for nation-wide and/or regional coalitions (task forces, action groups, collaborative bodies) in the arena of alcohol control policy. Organisational references: Estonian Temperance Union
Other background information:	No data entered

Politics, policies and priorities -

Do relevant politicians/policy makers refer to alcohol control policy in a manner that suggests it is a priority area?

Yes, in documents

Document references:
Coalition Agreement of the Estonian Republic

Do relevant politicians/policy makers refer to the prevention of the harm done by alcohol in a manner that suggests it is a priority area?

Yes, in documents

Document references:
Coalition Agreement of the Estonian Republic

In your opinion, taking into account everything you know, what level of real priority does the present government place on alcohol control policy? (1 is low priority, mostly rhetoric; 10 is high priority, much action)

4

In your opinion, taking into account everything you know, what level of real priority does the present government place on the prevention of the harm done by alcohol? (1 is low priority, mostly rhetoric; 10 is high priority, much action)

4

What is the recent trend (past several years) in resource allocation to alcohol control policy and programmes to prevent the harm done by alcohol?

Large decrease in resources

What was the amount of funds allocated to alcohol control policy and programmes to prevent the harm done by alcohol in the most recent national budget (Euro):	No data entered
Budget year:	No data entered

National level, governmental policy documents on alcohol policy and on preventing the harm done by alcohol been published in the following areas:

Drinking and driving. Document references: Traffic Law Taxation of alcohol products. Document references: New Act on Alcohol Excise Tax Availability of alcohol, including licensing. Document references: Alcohol Law Sales to minors. Document references: Alcohol Law amendment Alcohol advertising, promotion and sponsorship. Document references: Advertising Law

Regional level, governmental policy documents on alcohol policy and on preventing the harm done by alcohol have been published in the following areas:

Availability of alcohol, including licensing. Document references: Ban of alcohol sale during nighttime Limiting the time of alcohol sale Timelimits for alcoholsale in Jõhvi Alcohol advertising, promotion and sponsorship. Document references: Ban of alcohol advertising in Kuressaare

Non-governmental (private enterprise, research institute, NGO, etc.) policy documents on alcohol control policy and programmes to prevent the harm done by alcohol have been published in the following areas:

Drinking and driving. Document references: Changing our roads more safe Education and public awareness. Document references: Alcohol situation in Estonia Alcohol advertising, promotion and sponsorship. Document references: About moderation and alcohol advertising

Name up to five of the most senior government officials with responsibility to oversee/manage alcohol control policy and the prevention of the harm done by alcohol. Organisational references: Ministry of Social Affairs Ministry of Social Affairs - Public Health Department National Institute of Health Development

Evaluation -

Are national alcohol control policy and programmes to prevent the harm done by alcohol policies evaluated and reported?

No

Monitoring and/or surveillance -

Are national alcohol policy monitoring and/or surveillance activities published?

No

Knowledge development -

Provide organisational reference(s) for the principal bodies (e.g. academic bodies, public health laboratories, agencies, government units) that are involved in developing the knowledge base for alcohol control and prevention policies. Organisational references: Estonian Blue Cross Estonian Police Estonian Temperance Union Health Protection Inspectorate Ministry of Social Affairs National Institute of Health Development University of Tartu

Implementation -

Provide organisational references for the principal bodies (main providers) that are involved in implementing intervention programmes and other actions for alcohol control policy. Organisational references: Estonian Temperance Union Health Protection Inspectorate Ministry of Social Affairs National Institute of Health Development

Information dissemination -

Provide organisational references for the principal bodies that are involved in information dissemination and other actions to keep health care professionals informed about managing hazardous and harmful alcohol consumption and alcohol dependence. Organisational references: Estonian AIDS Prevention Centre Health Protection Inspectorate Institute of International and Social Studies at Tallinn University Ministry of Social Affairs National Institute of Health Development State Agency of Medicines Tallinna Sotsiaal- ja Tervishoiu Amet University of Tartu

Programmes -

How available are programmes for preventing the harm done by alcohol? Provide document reference(s) for some of the key programmes that exemplify high quality. (1 is not available; 5 is widely available)
Public education through mass media	1
Comprehensive community based	1
Home/family	1
School Document references: Minimazing damage done by alcohol	2
College	1
University	1
Work place	1
Primary health care	1
Hospital/clinic	1
Internet Document references: www.promill.ee	1
Social welfare and youth services	2
Custodial settings (prisons, probation, etc.) Document references: Anonymos Alcoholics	2
Other:

Professional workforce -

Is higher education in alcohol control policy and/or the prevention of the harm done by alcohol available from at least one institution of higher education? No

Funding -

Are funds dedicated to alcohol control policy and programmes to prevent the harm done by alcohol clearly identifiable in the most recent national budget?

Funds are available for alcohol, but mixed in with other funding and hard or impossible to link explicitly with alcohol.

The arena/activities are indicated for which earmarked funds are provided:

Are funds dedicated to alcohol control policy and/or programmes to prevent the harm done by alcohol clearly identifiable in the budgets of non-governmental institutions (foundations, private institutes, welfare societies, professional groups, etc, associations)?

Yes

The arena/activities are indicated for which earmarked funds are provided:

School, college, university-based educational programmes Document references: Informing results of alcohol use in schools

Personal evaluation of the state of the field -

List up to five key recent advances in your country related to alcohol control policy:

- Parliament accepted the ban for selling alcohol on the streets (kiosks etc). - Parliament accepted the bill that makes alcohol sale to minor a criminal act. Punishment upt to one year imprisonment. - Timelimits for alcohol selling in different town and county governments. - Increased media attention on alcohol policy in Estonia. - No data entered

List up to five key recent advances in your country related to the prevention of the harm done by alcohol:

- Previously mentioned jurisdictional changes in Estonia. - Reestablishment of the Estonian Temperance Union and the work it has started. - Public attention on the subject. Although statistics show that harm done by alcohol increases. - Police have created a new department and one of its assignments is fighting against drunkdriving. - No data entered

List up to five key barriers/obstacles/issues that stand in the way of achieving, in your country, action on alcohol control policy:

- Overall mentality of the people, politicians included. Poor understanding of the harm done by the alcohol. - Activity of the alcohol industry. They influence media by the advertising and policy makers by business and political relations. - Unableness to uphold the laws that excist at the moment. It works as an argument against new and stricter laws. - No data entered - No data entered

List up to five key barriers/obstacles/issues that stand in the way of achieving, in your country, action on the prevention of the harm done by alcohol:

- A widespread opinion on alcohol as a product for everyday life. Poor understanding of harm done by alcohol. - Influence of TV and other media to the adolescents. Media presents a youthculture where alcohol is a normal part. - Funds from alcohol excise taxes does not go for public health work. - Weak alcohol policy. - No data entered

List, in descending order of importance, up to five key advances that are needed to support implementation of evidence-based alcohol control policy in your country:

- Governmental commission for elaboration of the evidence based alcohol policy for Estonia. The Commission has to include members of the Government and the Parliament, specialists on alcohol problems and health promotion, physicians, sociologists and educators. - Subcommissions for supplying the governmental commission by facts on the alcohol situation and the European experience of the alcohol policy. - Educational courses for members of government and Parliament on the alcohol problems and on experience in the regulation of the alcohol situation. - No data entered - No data entered

List, in descending order of importance, up to five key changes that are needed in your country, to achieve the advances above:

- Evidence based analysis of regional experience in limitation of alcohol sale. - Evidence based analysis of experience in anti-alcohol education in schools. - Financual backup for the nongovernmental organisations dealing with tasks listed in 11.5.2, 11.5.3, 11.6.1 and 11.6.2. - No data entered - No data entered

List, in descending order of importance, up to five key advances that are needed to support implementation of evidence-based the prevention of the harm done by alcohol in your country:

- State program for prevention of alcoholism and alcohol dependence. - Attitude change among population: - alcohol is not for everyday life - Being drunken is disgraceful - Pregnant women and mothers should avoid alcohol totally - children should grow up free of alcohol - everybody has freedom to determine his/her attitude to alcohol but everybody is responsible for harm resulted by alcohol consumption. - No data entered - No data entered - No data entered

List, in descending order of importance, up to five key changes that are needed in your country, to achieve the advances above:

- Active distribution of knowledge of alcohol and harms resulted by alcohol consumption using public lectures, forums, media etc. - Special alternative media, introducing alcohol and drugfree lifestyle: radio- and TVshows, newspaper. - Courses for parents, pregnant women, teachers and social workers. - Improvement of health education in schools. - No data entered

List up to ten persons who you believe are important for action on alcohol control policy and the prevention of the harm done by alcohol in your country. Organisational references: Estonian Blue Cross Estonian Temperance Union Ethic committee of the ESTONIAN MEDICAL ASSOCIATION Health Protection Inspectorate Ministry of Social Affairs National Institute for Health Development Safe Communities