This study is an evaluation of Support for the Health Sector Devolution Policy in Zambia. The study adopts a stakeholder analytical approach and its central objective is to study characteristics of key stakeholders, analyse how these influence support for implementing the devolution policy in the Zambian Health Sector and recommend strategies for taking forward the decentralisation process. The primary sources of research material include policy documents and qualitative interviews. Qualitative analysis was conducted using coding derived both from conceptual framework and from a more grounded review of interviews. Coding of interviews was done both manually and with qualitative research software, NUDIST. The results showed that stakeholders’ characteristics are a threat to a successful implementation of the health sector devolution policy in Zambia. This is partly due: Low levels of knowledge of devolution policy among stakeholders and Fear that the Ministry of Local Government and Housing may fail to prioritisehealth in resource allocation budgeting and divert money to non-health programmes.