1Ebenezer Essilfie-Baiden | 2Dr. David Ackah, PhD. Abstract Taking into consideration the numerous challenges in the Ghanaian construction industry amidst numerous interventions of successive governments to address these issues. Most construction projects in the country get abandoned and unaccounted for across the nation. This research aimed at analysing the impact of project misalignment with business objectives on the overall project performance in the Greater Accra construction sub-region of Ghana using the Total Quality Management Model. The research delved into the causes of project misalignment, impact on business objectives and project performance, and the nature of the Ghanaian construction industry. The study adopted a purposive sampling technique to sample 120 respondents/stakeholders including clients, professional consultants and contractors in the Greater Accra region. The results of the research showed that lack of communication, poor collaboration and process non-compliance are notable factors that influence misalignment of construction projects in the country. The findings revealed that construction firms that implement Total Quality Management emphasize on management leadership, work environment and culture, and supplier quality management compared to other management principles. Finally, the study shows that the level of implementation of Total Quality Management is low and there is no regulatory authority to monitor the performance of stakeholders in the construction industry. Keywords: Project Misalignment, Overall Project Performance, Total Quality Management Model |