Indonesia hajj health program aimed at enhancing and maintaining health and fitness of pigrims as stipulated in national policy on hajj health management. However, the unavailability of funding sources becomes a main constraint for executing the policy. The MOH awarded Lumajang as the most outstanding dictrict on hajj health management in 2014. Lumajang was able to allocate hajj health program in the annual regional budget. The objective of this study was to analyze the implementation of hajj health policy from the point of equity, efficiency, quality, and community empowerment in order to improve health status and physical fitness level of all hajj pilgrims in Lumajang. This research applied descriptive study and documentary review using original data on health policy implementation. The population of study were 710 pilgrims (jemaah). Most jemaah were 45–60 years old and 52% were men. The results revealed that most jemaah had high blood pressure (57, 31%), some impovements in all BMI categories, and category of fair in physical fitness (49, 31%). Moreover, there was zero death of 710 jemaah, in which 34% of the total jemaah classified as a high health risk group. This study concluded that the policy implementation evidently could provide important benefit for hajj pilgrims of Lumajang in performing hajj ceremony process. The sustainability of hajj health program absolutely affected by the availability of funding sources, accessibility of health services, and support of community participation.