Searches like accountant in Kumasi or clinic near me are answered mostly from the map pack and Google Business Profile listings, not from ordinary pages. Local SEO is the profile, its reviews, consistent NAP, location pages on the site, and LocalBusiness schema.
For most Ghanaian service businesses it is the highest return search work available, because the competition is thin and the intent is immediate. A business with a complete, active profile and a fast site that names its city outranks a bigger firm that has neither.
Reviews matter as much as the profile: a facility with forty recent reviews outranks one with four, all else being equal.