Abstract: Small and Medium-size Enterprises SMEs play significant roles in the construction sector supply chain procurement system, contributing to nation's gross domestic product, employment and socio-economic development. Studies have identified SMEs growth in Ghana as non-sustained and attributed to stakeholder's influence. This study identifies stakeholders', influences and proposes a stakeholder engagement approach for sustained growth. A qualitative approach involving literature review was validated using questionnaire interview survey and descriptive analysis. A five- stage engagement process proposed: identify SMEs growth objectives and challenges; identify and analyze stakeholders; engage stakeholders; measure growth; monitor and support objectives using feedback for sustained SMEs growth