| Final | time | | 1. South Africa |  RSA | 4:10.90 | | Melissa Corfe, Suzaan van Biljon, Amanda Loots, Leizl-Mari Burger | | 2. Zimbabwe |  ZIM | 4:21.60 | | Kirsty Coventry, Maxine Heard, Heather Brand, Kim Eeson | | 3. Algeria |  ALG | 4:24.54 | | Karima Lahmar, Meriem Lamri, Sarah Hadj Abderahmane, Amira Kouza | | 4. Tunisia |  TUN | 4:28.05 | | Maroua Mathlouthi, Sarra Lajnef, Meriem Meddeb, Sarra Chahed | | 5. Egypt |  EGY | 4:29.48 | | Dina Hegazy, Salama Ismail, Mai Mostafa, Hebatalla Ismail |
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