| Final 18:04 | | time | gap | L | 100 | 200 | 300m | | 1. Catherine van Rensburg |  South Africa | 4:17.92 | | 4 | 1:02.21 | 2:07.04 | 3:12.29 | | 2. Lojine Hamed |  Egypt | 4:19.34 | +1.42s | 3 | 1:03.22 | 2:07.55 | 3:13.45 | | 3. Hannah Mouton | South Africa | 4:22.89 | +6.97s | 5 | 1:03.41 | 2:09.61 | 3:16.79 | | 4. Majda Chebaraka | South Africa | 4:38.89 | +20.97s | 6 | 1:06.37 | 2:16.87 | 3:27.85 | | 5. Molina Smalley |  Namibia | 4:40.41 | +22.49s | 2 | 1:05.00 | 2:15.99 | 3:28.32 | | 6. Rafaela Santo |  Angola | 4:49.63 | +31.71s | 7 | 1:08.43 | 2:22.57 | 3:37.57 | | 7. Lois Eliora Irishura |  Burundi | 5:29.06 | +1:11.14 | 8 | 1:14.41 | 2:39.05 | 4:06.12 |
| World Record: Ariarne Titmus, Australia 3:55.38 WC Fukuoka, Japan 23rd July 2023 | | African Record: K. Prinsloo 4:07.92 Perth, Australia 31st January 2014 | | Championship Record: M. Corfe, South Africa 4:15.53 Alger, Algeria |
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