| Venue: Mohammed V Sport Complex | | Day 1 - Event 3. |
| Final | time | | L | Y | Fly | Breast | Back | Pts | | 1. Kathryn Meaklim |  RSA | 4:45.76 | CR | 4 | 89 | 30.94s | 1:05.72 | 3:38.30 | 902 | | 2. Sarra Lajnef |  TUN | 4:52.53 | NR | 3 | 89 | 31.59s | 1:06.99 | 3:44.77 | 840 | | 3. Bianca Meyer | RSA | 4:52.69 | NR | 5 | 89 | 31.58s | 1:06.82 | 3:45.08 | 839 | | 4. Maroua Mathlouthi | TUN | 5:01.58 | | 7 | 88 | 31.12s | 1:07.18 | 3:53.87 | 767 | | 5. Yara Elmad Fakhiry |  EGY | 5:02.35 | | 6 | 96 | 31.47s | 1:06.90 | 3:51.27 | 761 | | 6. Rowida Ibrahim | EGY | 5:10.43 | | 1 | 95 | 34.91s | 1:12.22 | 4:00.56 | 703 | | 7. Sara El Bekri |  MOR | 5:12.97 | | 2 | 87 | 31.89s | 1:08.13 | 4:03.00 | 686 | | 8. Noufissa Chbihi | MOR | 5:17.51 | | 8 | 90 | 33.33s | 1:09.04 | 4:07.47 | 657 |
| African Record: Kirsty Coventry (ZIM), 4:29.89, 10/08/2008, Beijing. |
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| Ranking | time | Y | Fly | Breast | Back | Pts | | 1. Kathryn Meaklim | RSA | 4:53.72 | 89 | 1:06.92 | 2:21.85 | 3:44.49 | 830 | | 2. Bianca Meyer | RSA | 4:56.12 | 89 | 1:06.89 | 2:23.10 | 3:46.18 | 810 | | 3. Sarra Lajnef | TUN | 4:58.46 | 89 | 1:10.05 | 2:27.82 | 3:48.36 | 791 | | 4. Yara Elmad Fakhry | EGY | 5:06.88 | 96 | 1:08.35 | 2:29.11 | 3:54.23 | 728 | | 5. Sara El Bekri |  MAR | 5:08.80 | 87 | 1:08.72 | 2:35.32 | 3:57.04 | 714 | | 6. Maroua Mathlouthi | TUN | 5:11.18 | 88 | 1:09.79 | 2:30.68 | 3:58.85 | 698 | | 7. Rowida Ibrahim | EGY | 5:13.19 | 95 | 1:12.41 | 2:34.53 | 4:02.81 | 685 | | 8. Noufissa Chbihi | MAR | 5:22.05 | 90 | 1:08.26 | 2:35.68 | 4:09.34 | 630 | | eliminated | | 9. Sarah Hadj Abderrahmane |  ALG | 5:28.46 | 90 | 1:09.52 | 2:35.59 | 4:13.55 | 593 |
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