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This comprehensive study explores sustainable urban governance and planning (SUG&P) within the perspective of sustainable urban transformation (SUT) in developing countries, with a specific focus on Ghana. The research utilized a structured survey to gather data from 430 professionals involved in SUG&P, including architects, town planners, and environmentalists. The demographic analysis revealed a predominant male representation (75.8%) and a diverse range of academic backgrounds, mostly in government departments (63.3%). The study rigorously assessed seven key constructs central to SUG&P: leadership commitment (LC), good governance principles (GGP), green economy (GE), built environment (BE), cultural identity (CI), urban stakeholder management (USM), and historical antecedent (HA). Each construct was analyzed through multiple measurement factors, revealing their significant influence on SUG&P. For instance, LC and GGP show strong influence with scores ranging between 2.83 and 3.00, indicating their influential role in shaping SUG&P. Additionally, the research evaluates the outcomes of SUG&P (OST), identifying 13 variables critical to the success of SUT. These outcomes, such as sustainable urban environmental management strategies and a sustainable BE, are shown to have a profound impact on the urban setting, with scores ranging from 3.37 to 3.82. The study presents a detailed understanding of the factors influencing SUG&P in developing countries, highlighting the complex interplay of leadership, governance, cultural, and environmental considerations. It underscores the necessity of integrating these diverse elements to effectively manage and guide the process of SUT.

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