Four qualifying rounds took place from April to November 2019 in a home-and-away series format. In the fifth and final round of qualifiers, Zambia drew Cameroon 4-4 on aggregate and went through on the away-goals rule to win the confederation's only direct ticket to Tokyo 2020, while Cameroon narrowly missed out after losing to Chile in the intercontinental play-offs.
The FIFA Women’s World Cup France 2019™ served as qualification for the continent for Tokyo 2020. Great Britain, the Netherlands and Sweden booked their places for the Women’s Olympic Football Tournament Tokyo 2020 by being the top-three finishers from the continent at France 2019.
The final qualifying tournament was hosted in the USA from 28 January to 9 February. Canada and USA advanced to the final, therefore both qualifying for the Women’s Olympic Football Tournament Tokyo 2020. USA won the tournament for the fifth consecutive time.
The Copa America 2018 was held in Chile from 4 to 22 April 2018. Brazil qualified for the Women’s Olympic Football Tournament Tokyo 2020, while second-placed Chile defeated Cameroon 2-1 in the intercontinental play-offs to qualify for the first time.