| Final 17:06 | | time | gap | L | Butter | Back | Breast | | 1. Els Georgia Cecile |  South Africa | 2:17.65 | | 3 | 29.53s | 1:06.01 | 1:44.53 | | 2. Nour Elgendy |  Egypt | 2:19.74 | +2.09s | 4 | 29.40s | 1:06.78 | 1:46.31 | | 3. Hamida Rania Nefsi |  Algeria | 2:20.51 | +2.86s | 7 | 30.67s | 1:07.56 | 1:47.53 | | 4. Kate Jill Meyer | South Africa | 2:20.66 | +3.01s | 5 | 29.33s | 1:06.41 | 1:46.41 | | 5. Rawan El Damaty | Egypt | 2:22.43 | +4.78s | 6 | 30.19s | 1:06.77 | 1:48.43 | | 6. Molina Smalley |  Zimbabwe | 2:28.71 | +11.06s | 2 | 30.38s | 1:09.27 | 1:52.25 |
| World Record: KAtinka Hosszu, Hungary 2:06.12 WC Kazan, Russia 3rd August 2015 | | African Record: Kirsty Coventry, Zimbabwe 2:08.59 OG Beijing, China 13th August 2008 | | Championship Record: Kirsty Coventry, Zimbabwe 2:13.02 Alger, Algeria 7th July 2007 |
| Heat 1 11:00 | | time | gap | L | Butter | Back | Breast | | 1. Nour Elgendy | Egypt | 2:21.39 | | 3 | 30.49s | 1:09.29 | 1:49.01 | | 2. Kate Jill Meyer | South Africa | 2:21.55 | +0.16s | 4 | 29.66s | 1:06.97 | 1:47.52 | | 4. Rawan El Damaty | Egypt | 2:26.92 | +5.53s | 5 | 29.89s | 1:07.98 | 1:47.98 | | 5. Paige Sally Westhuizen | Zimbabwe | 2:28.99 | +7.60s | 6 | 31.18s | 1:09.04 | 1:52.25 |
| Heat 2 11:05 | | time | gap | L | Butter | Back | Breast | | 3. Els Georgia Cecile | South Africa | 2:22.68 | +1.29s | 4 | 29.89s | 1:07.98 | 1:47.98 | | 6. Molina Smalley |  Namibia | 2:29.32 | +7.93s | 6 | 31.08s | 1:10.53 | 1:53.37 | | 7. Hamida Rania Nefsi | Algeria | 2:30.84 | +9.45s | 5 | 32.06s | 1:10.87 | 1:53.89 | | 8. Nesrine Medjahed | Algeria | 2:33.41 | +12.02s | 3 | 30.94s | 1:10.75 | 1:56.60 | | 9. Jessica Humphrey | Namibia | 2:35.45 | +14.06s | 2 | 32.80s | 1:11.64 | 2:00.49 | | 10.Mikayla Mayita Makwabarara | Zimbabwe | DNS | | 7 | 31.66s | 1:16.49 | 2:07.08 |
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