The transport systems of Accra and Kumasi confront formidable challenges, including rising pollution, congestion, emissions along with traffic accidents. Even though most residents rely on walking and popular transport (notably trotro), it is challenging to reach essential services throughout the city via these modes. In fact, accessibility deserts exist for non-car modes, i.e., it is impossible to reach crucial destinations within a 30-minute walking radius especially in newly urbanised areas. Furthermore, popular transport is not fully meeting the needs of all travellers, e.g., additional costs and denial of access for heavy loads, disproportionately impact women, who often combine work-related travel with care responsibilities. The prohibition of potentially beneficial modes, such as three-wheelers and moto-taxis, could exacerbate accessibility gaps. This policy paper high-lights the need for sustainable, inclusive, and accessible transport systems in these dynamic and urbanising cities.