This study interrogates the demand and supply of transport infrastructure and services in peri-urban areas of Sunyani Municipality in Ghana. Structured one-on-one interviews were conducted with 100 households across three peri-urban communities in Sunyani (Abesim-Kyidom, Asuakwaa and Adomako). Findings revealed that a majority of peri-urban households (84%) in the study communities who commute daily to and from the city centre are faced with poor transport infrastructure (e.g. poor conditions of road) and unreliable services (e.g. unregulated public transport). Inadequate investment in transport infrastructure and services by the Ghanaian government, the limited activity locations in peri-urban areas, and the concentration of activity locations at the city centre were identified to be contributing to the poor state of transport infrastructure and services in the case study communities. Policy recommendations to improve the situation are further proffered.