Midwifery practice in the Philippines has been recognized as one of the primary health care services for the people. The role of midwives has been expanded to address the basic health service needs of mothers and their children. Midwifery education must be able to respond to those in need by producing midwives who have up-to-date knowledge and skills and appropriate attitude necessary to render midwifery services with competency and dedication. Descriptive-correlational design was utilized in the study. Documentary analysis of the Efficiency Rating based on the Performance Evaluation Checklist of midwifery students in their Clinical Practicum in Primary Health Care was utilized. The study was conducted in Bohol Island State University with thirty-five Level 2 Midwifery Students in the Health and Allied Services Department. The efficiency rating of the thirty-five students was utilized based on the performance of the subject. The clinical instructors handling the Clinical Practicum in Primary Health Care 1 were asked to rate the subject’s performance using the self-made performance evaluation checklist. Focused-group discussion with the students of top 3 highest and top 3 lowest ratings in each competency were conducted to draw first-line information from them to be used as a basis for improvement of student’s performance.