Global alcohol control efforts have been shaped in important ways by a distinct global health network that formed during the 1990s and began to globalize during the 2000s. This particular community generated scientific evidence regarding harm and effective interventions, ultimately prompting the WHO to adopt many of its recommendations as best practices. But these successes have yet to translate into major financial commitments by donors or widespread adoption of national policies reducing harm. By 2013, less than one-third of the 194 WHO member states had adopted a national policy on alcohol control (World Health Organization 2013a). These challenges of moving beyond agenda setting and policy adoption point to specific weaknesses of the current network which has to move beyond bringing together individuals with shared interests and become a democratic platform of organizations sharing a common agenda of reducing alcohol harm in LMICs.