Botswana has been one of the worlds fastest growing economies over the past 50 years, allowing the country to move from being among the poorest to upper middle income status - this has had the effect of pulling the majority of the population out of poverty. While Botswana is rightly praised for its management of resource wealth, it is apparent that the high levels of investment by government (in health, education, and infrastructure) are not delivering quality outcomes, making it increasingly difficult to meet the objectives of growth, diversification, and poverty elimination.