Water insecurity is a growing concern globally, especially for developing countries, where a range of factors including urbanization are putting pressure on water provisioning systems. The role of groundwater and aquifers in buffering the effects of climate variability is increasingly acknowledged, but it can only be fully realized with a more robust understanding of groundwater as a resource, and how use of it and dependency on it differ. Accra and its hinterland exemplify an African city with chronic water shortages, where groundwater resources offer opportunities to improve resilience against recurring droughts and general water insecurity. Based on a mixed-methods study of a peri-urban township, it was found that for end users, particularly poor urban households, resilience is an every-day matter of ensuring access from different sources, for different purposes, while attention to drinking water safety is falling behind. Planners and decision makers should take their cue from how households have developed coping mechanisms by diversifying, and move away from the focus on large infrastructure and centralized water supply solutions. Conjunctive use, managed aquifer recharge, and suitable treatment measures are vital to make groundwater a strategic resource on the urban agenda.