The women's 5000 metres event at the 2004 World Junior Championships in Athletics was held in Grosseto, Italy, at Stadio Olimpico Carlo Zecchini on 13 July.
| Gold | Meselech Melkamu | |
| Silver | Catherine Chikwakwa | |
| Bronze | Chiaki Iwamoto |
13 July
| Rank | Name | Nationality | Time | Notes | |||
|---|---|---|---|---|---|---|---|
| align=left | align=left | | 15:21.52 | ||||
| align=left | align=left | 15:36.22 | |||||
| align=left | align=left | | 15:39.59 | ||||
| 4 | align=left | align=left |  | 15:50.67 | |||
| 5 | align=left | align=left |  | 15:52.88 | |||
| 6 | align=left | align=left | | 15:54.34 | |||
| 7 | align=left | align=left | | 15:57.51 | |||
| 8 | align=left | align=left |  | 15:58.93 | |||
| 9 | align=left | align=left |  | 16:04.41 | |||
| 10 | align=left | align=left |  | 16:23.85 | |||
| 11 | align=left | align=left | | 16:25.24 | |||
| 12 | align=left | align=left | 16:50.02 | ||||
| 13 | align=left | align=left |  | 16:51.12 | |||
| 14 | align=left | align=left |  | 17:24.76 | |||
| 15 | align=left | align=left | 18:07.91 | ||||
| align=left | align=left |  | DNF |
According to an unofficial count, 16 athletes from 13 countries participated in the event.