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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