Support for Groundbreaking “ Action on  Fistula ” Program for Treating Obstetric  Fistula* in Kenya Starlight Partners Activities (Support for Patients Associations) Support for Patients Philanthropic Community Contribution  Activities Group-wide Volunteer Activities Changing Tomorrow Day At an Astellas Peer Support Training Session in Fukuoka, Japan Astellas employees meeting a fistula patient in Kenya. Astellas has committed  € 1.5 million to establish  Action on  Fistula , an initiative that will be led by the charity Fistula  Foundation from 2014 to 2017. This funding will provide  support for the International Federation of Gynecology and  Obstetrics (FIGO) Competency Based Training Program in  Kenya. By increasing the number of fistula surgeons, the  program will significantly boost the number of surgeries that  take place in the country. A Fistula Treatment Network will  also be created across Kenya and a major outreach program  will be conducted with community workers identifying  patients and encouraging them to access available treatment. * An obstetric fistula is a hole between the vagina and rectum or bladder,  causing incontinence. It is caused by prolonged obstructed labor when  emergency care is unavailable. Untreated, fistula can lead to chronic medical  problems including ulcerations, kidney diseases and nerve damage in the  legs. Whilst virtually eradicated in developed countries, the United Nations  Population Fund estimates 3,000 new cases of obstetric fistula occur  annually in Kenya, with approximately 1 to 2 fistulas for every 1,000 deliveries. For details, please visit the following website. Action on Fistula  Program  http://www.astellas.eu/action-on-fistula/ Astellas conducts a variety of patient support activities to  provide assistance to patients fighting illnesses, and their  family members, on a global basis. Astellas promotes Starlight Partners Activities in Japan as  part of efforts to support the self-reliance and development  of patients associations. Astellas Peer Support Training  Sessions are held for a wide range of participants, including  patients and their families, along with people who have  recently formed patients associations. The training sessions  help participants understand the principle of peer support,  where people who share the same concerns and problems  seek to understand and support one other as counselors  and obtain peer support techniques. In fiscal 2013, Astellas  Peer Support Training Sessions were held in three locations  across Japan, attended by 26 organizations and 33 people. For details, please visit the following website. Starlight Partners Activities http://www.astellas.com/en/csr/social/patient/ Astellas Group employees around the world conduct a  diverse range of volunteer activities to contribute to their  local communities based on their support to promote health- care and maintain the environment. In fiscal 2013, more than  8,000 employees participated in 33 countries worldwide. Astellas Pharma Inc.  _ Annual Report 2014 64