The 2019 COSAFA U-20 Women's Championship was the first edition of the COSAFA U-20 Women's Championship, an international football tournament, for national women's under-20 teams organized by COSAFA. The tournament was played between 1-11 August in Nelson Mandela Bay, South Africa. Invited from CECAFA, Tanzania became champions after winning 2-1 over Zambia in the final.
Seven of the 14 nations in COSAFA was represented in this tournament, along with the invited CECAFA nation Tanzania. There was a late change in the line-up when Mozambique took Malawi's spot.
The 8 teams were on 3 July, drawn into 2 groups and, played against each other once in a round-robin. The top two teams advanced to the semi-finals.