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This chapter analyses the efficiency of African airlines using a two-stage network DEA (Data Envelopment Analysis) model. Network DEA models usually take into account the production process with intermediate inputs derived from the first stage and a second stage that departs from it. This fundamental feature enables one to view the airline production process as a carry-over activity. The analysis covers the 2010–2013 period. The relative efficiency ranks are presented and policy implications are derived.