Student accoucheurs were perceived to be uncomfortable conducting intimate clinical procedures, hence the struggle to attain the required clinical learning experiences when allocated in maternity wards. A qualitative explorative, descriptive, and contextual design was used. Five focus group discussions of midwives were purposively sampled. Data was collected through focus group discussion using a semi-structured interview guide. Data was collected until data saturation was reached. Data were analysed through Tesch's open coding method. Trustworthiness was achieved through credibility, transferability, and confirmability. Ethical principles were adhered to and included were informed consent, beneficence, right to self-determination, confidentiality, and anonymity. The findings revealed two themes: the perceptions of the competence of student accoucheurs during clinical practice and the strengthening of clinical accompaniment. For improving the practice and competence of student accoucheurs, maternal directorate should consider recruiting, appointing, and placing or promoting existing accoucheur managers to manage maternity units to improve gender equity and role modelling for student accoucheurs in midwifery discipline. The willing and passionate must form part of the staff establishment in the maternity care units in order to familiarise women with nursing care rendered by student accoucheurs. The training institutions should incorporate cultural diversity in teaching student accoucheurs in midwifery care to ensure that they are equipped with knowledge to render maternal health to women of different cultures