Burnett Foundation Aotearoa

Your Idea
Briefly describe your idea and how it would work in practice (max 200 words) *
In one sentence, describe your idea.*
What specific problem related to HIV prevention, testing, treatment, stigma, or access are you aiming to address? (max 200 words)*
How would artificial intelligence or digital technology be used in your solution? You may wish to describe the type of AI or technology involved (for example conversational AI, predictive modelling, recommender systems, automation, data analysis, or other approaches). (max 200 words) *
Who would most benefit from your idea, and how would they realistically use it? (max 200 words) *

Understanding the Context
Burnett Foundation works in a high-trust environment alongside communities most affected by HIV. Successful ideas will need to be safe, respectful, and consider real community and lived experience.
How would you ensure your idea is safe, respectful, and appropriate for communities most affected by HIV in Aotearoa New Zealand? For example, you may wish to consider issues such as privacy, stigma, cultural safety, trust, or how people would engage with your solution. (Max 200 words)*
What additional knowledge, insight, or collaboration would help you strengthen or refine your idea? For example, this might include community perspectives, lived experience, behavioural insights, clinical expertise, or user experience research.(Max 200 words)*
What risks, sensitivities, or unintended consequences should Burnett Foundation consider when exploring ideas like yours? These might relate to privacy, stigma, trust, cultural considerations, or the responsible use of technology. This question is not intended to discourage bold ideas, but to understand how you are thinking about responsible implementation. (Max 200 words)*

Execution Capability
Early conceptPrototypeWorking demoPilot testedExisting product that could pivot
Yes within our teamPartially, we would partner with othersNo we would need technical partners
What relevant skills or experience does your team bring to this work? (max 200 words) *
Full name of person who will lead this project?*
Role*
Contact Number *
Contact Email *
What would you aim to deliver within a $30,000 development grant? Please describe the tangible outcome you would expect to produce, such as a prototype, pilot, technical proof of concept, research output, or working demonstration. (Max 200 words)*
How would the $30,000 grant be used? Please provide a high-level breakdown of how the funding would support your work (for example: development time, technical expertise, user research, design, testing, or community engagement). (Max 200 words)*
If successful, what would be the next step beyond this initial development phase? If your solution would require further funding or partnerships to scale or implement, briefly describe what that next stage might involve. (Max 200 words)*
Please upload a high-level budget for the project *

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Estimated total cost to fully develop your solution beyond the $30,000 grant*

Partnerships and Collaboration
YesNoPossibly
If yes or possibly, please describe the partners you would ideally work with and the role they would play in the project (for example: technical development, research, community engagement, clinical expertise, or testing). If you do not plan to partner with others, please write “N/A”. Max 200 words*

Delivery Timeline
4 - 6 weeks2 - 3 months3 - 6 monthsMore than 6 months
Briefly outline the key stages required to develop and deliver your proposed solution. (Max 200 words)*
What would the first real-world test or pilot of your idea look like? Please describe where and with whom it would be tested, and what you would aim to learn from that pilot. (Max 200 words)*
Immediately (within 2 weeks)Within 1 monthWithin 2 - 3 monthsLater than 3 months
Start time: Optional explanation field if required

Data, Privacy and Ethics
Ideas involving health information, personal data, or sensitive topics require careful attention to privacy, trust, and responsible use of technology.
YesPossibly / Not Yet DeterminedNo
If your solution involves personal data or sensitive information, how would privacy and data protection be addressed? For example, you may wish to consider data security, consent, anonymisation, or responsible data use. If this is not relevant to your idea, please write “N/A”. (Max 200 words)*
Are you aware of any legal, regulatory, or ethical requirements that may apply to your solution? For example, these may relate to health information, privacy, research ethics, AI governance, or digital services. Please briefly describe any considerations you are aware of. (Max 200 words) *
YesNoUnsure
If yes, please describe. If unsure, provide further explanation

Future Pathway
If your idea proves successful, how could it create longer-term impact in Aotearoa?For example, this could include adoption by health providers, integration into existing services, wider community use, or further development.(max 200 words)*

Conflicts and References
Please declare any actual or perceived conflicts of interest that may be relevant to this application. This includes any personal, professional, or organisational relationships with Burnett Foundation Aotearoa staff, Innovation Challenge Advisory Committee members, or partners involved in the challenge. Disclosure does not affect eligibility but helps ensure a fair and transparent assessment process. (If none, please write “None”.)*
Full name of one referee who can speak to your team's ability to deliver this work*
Email of referee*
Phone number of referee*
Burnett Foundation Aotearoa will not contact your referee without discussing with you first.
Supporting materials (optional). If you have them, you may upload links or files that help us better understand your idea. This could include a prototype, demo, mock-up, short video, slide deck, research summary, or examples of related work. There is a limit of one file. These materials are not required. Many strong ideas are still at concept stage, so please only include this if it helps explain what you are building.

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Applicant Details