The roundtable discussion on “Strengthening the Accountability of District/Municipal/Metropolitan Chief Executive (D/MCE) to The Assembly and to the Grassroots” came off at the Elmina Beach Resort in Cape Coast. The Deputy Minister for the Central Region and Acting Cape Coast Municipal Chief Executive chaired the function. The main speakers at the function included: Mr. Cletus Avoka, a private legal practitioner; Mr. Kwame Gyasi, Senior Lecturer, University of Ghana Business School and Hon. Kwesi Esseku, Presiding Member of Effutu District Assembly. This publication is a compilation of proceedings of the round table discussion. It also includes the full text of papers presented by resource persons.