The men's qualification for the 1991 All-Africa Games marked the first time that under-23 teams participated in the tournament.
Libya and Morocco withdrew from the competition.
The qualifying tournament for Zone IV was combined with the 1990 UDEAC Cup.
A tournament was organized in Windhoek, Namibia, featuring teams from Botswana, Zimbabwe, Lesotho, Namibia, Malawi, and Zambia.
The following countries have qualified for the final tournament: