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The women's 4 × 400 metres relay event at the 2004 African Championships in Athletics was held in Brazzaville, Republic of the Congo on July 18.
| Rank | Nation | Competitors | Time | Notes |
|---|---|---|---|---|
 |  Senegal | Fatou Bintou Fall, Tacko Diouf, Aïda Diop, Amy Mbacké Thiam | 3:29.41 | |
 |  South Africa | Surita Febbraio, Adri Schoeman, Heide Seyerling, Estie Wittstock | 3:30.12 | NR |
 |  Cameroon | Hortense Béwouda, Carole Kaboud Mebam, Muriel Noah, Delphine Atangana | 3:30.77 | |
| 4 |  Nigeria | Ngozi Nwokocha, Gloria Nwosu, Halimat Ismaila, Christy Ekpukhon | 3:30.84 | |
| 5 |  Morocco | Zahra Lachgar, Noual Baybi, Saïda El Mehdi, Hanane Skhyi | 3:44.16 | |
| 6 |  Republic of the Congo | Rose Biantouari, Belbick Onsso, Michelle Banga Moundzoula, Léontine Tsiba | 3:55.29 | NR |
| 7 |  Mali | Mah Koné, Ramatoulaye Gassama, Yah Koita, Dipa Traoré | 4:04.95 |
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