KESAN is a community-based, non-governmental, non-profit organization that works to improve livelihood security and to gain respect for indigenous peoples’ knowledge and rights in Karen State, Burma, where the violence and inequities of over 60 years of civil war have created one of the most impoverished regions in the world. KESAN’s approach is based on the principles of democratization-from-below and “Free, Prior and Informed Consent” to support the development of sustainable rural livelihoods.This document aims to provide readers with an overview of KESAN’s work during 2018, as well as to share the innovative approaches and tangible results of recent interventions.