As Ambassador to the United States from 1994 to 1997, Spio-Garbrah was noted for his success in rebuilding Ghana's image across the United States, including organising an unprecedented eight-city investment promotion programme for Ghana's then-President H.E. Flt Lt. Jerry John Rawlings in the U.S. As a result, partly of the successful bilateral programmes he executed, Ghana became the first country to be visited by U.S. President Bill Clinton during his famous five-country Africa visit in 1998 and is now a recipient of the Millennium Challenge Account. President Clinton's visit to Ghana was also followed by visits from President George Bush and Barack Obama, making it the only sub-Saharan African country to receive all three Presidents.
