Abstract: The rapid rate of urban expansion with its associated physical development in recent years conflicts with the urban ecosystem and the services it provides. In most Sub-Saharan African cities, rapid urban expansion often does not conform to existing spatial plans. Physical developments are sometimes carried out in unauthorized areas, contributing to urban floods. The Sub-Saharan African regions’ flood management strategies mainly focus on engineering solutions but have not been fully functional in mitigating urban floods. There is a scarcity of knowledge on how urban flood-related NBS measures can be part of the spatial development in Sub-Saharan African cities for effective flood management. In order to address this gap, this study employed content and text analysis of policy documents and interviews to understand how current spatial and flood mitigation schemes in Accra, Ghana reflect possible NBS applicability and identify possible approaches to integrating NBS into existing planning schemes to prevent urban floods. The study found that Accra’s spatial plans and flood mitigation schemes reflect a possibility of NBS integration. Additionally, the study unveiled techniques for integrating NBS measures and possible implementation barriers and facilitation in the Ghanaian context, which can be linked to combating the challenges that the Ghanaian spatial planning and flood management authorities face. The research, therefore, contributes to knowledge of how NBS can be integrated into spatial planning systems and flood mitigation schemes in Sub-Saharan African regions.