Accra is Ghana’s capital and most populous swing voting city and therefore has been a key electoral battle ground for political parties during the past two decades. This report synthesises a set of studies completed by a team of researchers in Accra. These studies used the ACRC’s holistic framework to examine how national and city-level politics, urban systems, and particular configurations of actors have shaped reform processes and their outcomes in the development domains of structural transformation; neighbourhood and district economic development; land and connectivity; housing; and informal settlements.