Washington in New Hampshire — a 13-mile hike with an elevation of 4,500 feet, or one-fourth the height of Kilimanjaro. Fistula impacts some 3.5 million women worldwide, predominantly in under-resourced areas of the globe — places like Kenya, which borders Tanzania where Kilimanjaro is located. Nicoletti says that women who suffer from fistula in under-resourced countries often become lepers in their communities. Among supporters, “The official chocolate sponsor,” of the trip, said Nicoletti, is Tangle Chocolate in Williamsburg. “I’m not a physician, my skillset is making chocolate, so I can contribute a little bit that way,” she said.