Under the administration, the Accra Metropolitan Assembly (AMA) has introduced a number of initiatives to improve services for city residents. Some sound progress is being made on these initiatives, including on refuse collection, sanitation, and public basic education. This report highlighted, a number of important service issues continue to need attention.

One overarching imperative is to provide more, and better, services to the AMA's less well served sub-metros and residential areas. To deliver the needed service improvements, the AMA will need to work in partnership with its constituents, the residents of Accra. This means communicating more frequently with residents, and actively listening to residents. This consultative citizens' report card has been designed specifically to facilitate the exchange of information between city residents and the AMA. It has asked a representative sample of almost 4,000 households, scattered across the city and in all sub-metros, to identify and prioritize their service needs, report on the quality of the services they receive, and provide feedback on their interactions with city officials.

This consultative citizens' report card also contains much information that will be of interest and use to city residents. It provides a fact-based picture of service coverage and service quality issues across the city at large, and also within each of the eleven Sub-metros. This information will help residents determine how services in their neighborhood and Sub-metro compare with other areas across the city, and help them identify areas which are better or less well served.