At the end of February 2011, the World Bank commissioned Balancing Act to assess the innovative Information and communication Technologies (ICT) applications already being used in the country, the impact of these applications, and provide recommendations on how these applications could be scaled up in the future. The study is part of a wider World Bank initiative to scale up the strategic application of information and communication technology in Africa. The study takes as its main assumption that ICT can provide a number of different ways that can help the social and economic growth of a country. However, it also looks at the interplay between things that ICT can make happen and the broader factors affecting Ghana. The structure of the report is as follows: 1) creating critical mass - the central argument; 2) the transition from infrastructure to services and applications; 3) the current state of ICT-enabled services and applications in Ghana; and 4) getting from here to there: actions needed to scale-up ICT services and apps. The methodology for this study has three parts to it: an examination of the African ICT roadmap; comparisons with Kenya and other countries; and the gathering of expert opinion both from the public and private sectors.