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Legal–Fiscal Integration in PPP Models for Sustainable Financing of Free Nutritional Meal Programs Iwan Kusnawirawan; Yofi Syarkani; Hernayati; Dwi Ratna Sari Handayani; Muhammad Arsyad Subu; Imam Waluyo
Moneta : Journal of Economics and Finance Vol. 4 No. 2 (2026): April 2026
Publisher : Indonesian Scientific Publication

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61978/moneta.v4i2.1325

Abstract

The expansion of Free Nutritional Meal Programs (FNMPs) has intensified fiscal and governance challenges, particularly in countries operating under constrained public budgets and evolving regulatory frameworks. While Public–Private Partnerships (PPPs) are increasingly promoted as alternative financing mechanisms, existing studies tend to treat legal and fiscal dimensions separately, creating a critical gap in understanding how integrated governance design supports sustainability.This study examines how PPP models can be leveraged through a legal–fiscal integration framework to ensure sustainable FNMP financing. Using a qualitative document-based policy analysis, the research systematically reviews academic literature from Scopus and Web of Science, combined with policy and evaluation reports from institutions such as the World Bank and OECD. A total of 48 documents were analyzed using thematic coding and an evidence-linkage matrix to ensure transparency and analytical rigor. The findings identify three interdependent governance mechanisms: hybrid financing structures, performance-based payment systems, and adaptive risk allocation frameworks. These mechanisms collectively demonstrate that sustainability in FNMP-oriented PPPs is not determined by single policy instruments, but by the integration of legal enforceability and fiscal design.This study contributes by developing an integrated legal–fiscal governance framework for nutrition-focused PPPs, offering a novel policy perspective that bridges public finance and legal design. The framework provides actionable guidance for policymakers to transform politically driven nutrition programs into fiscally sustainable and institutionally robust public health systems.
The New Frontiers of Medical Malpractice: Legal Challenges in the Age of Artificial Intelligence and Telemedicine Rosnalisa Zein; Iwan Kusnawirawan; Hernayati; Richard Mottershead; Muhammad Arsyad Subu; Imam Waluyo
Legalis : Journal of Law Review Vol. 2 No. 4 (2024): October 2024
Publisher : Indonesian Scientific Publication

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61978/legalis.v2i4.363

Abstract

The healthcare landscape has transformed significantly in recent decades, propelled by technological advancements and evolving treatment methodologies. This evolution has improved patient care and introduced complexities in medical malpractice. This research aimed to explore the evolving landscape of medical malpractice in light of technological advancements such as artificial intelligence (AI) and telemedicine. Specifically, the study aims to analyze the gap between traditional legal standards of medical malpractice and the practical realities healthcare providers face in a rapidly changing environment. The gap is most evident when applying static legal definitions to an ever-changing healthcare environment.  This study employs a qualitative research method using a systematic literature review (SLR) to analyze the relationship between legal frameworks and technological developments influencing medical malpractice claims over the past five years (2018-2023).  This study found a pressing need for legal reforms to accommodate emerging technologies such as telemedicine and artificial intelligence (AI), which challenge conventional definitions of liability and standards of care. The study emphasizes the importance of adapting legal frameworks to ensure patient safety while protecting healthcare providers from undue liability. This study highlights medical malpractice law's dynamic and evolving nature in response to technological advancements and changing healthcare practices. Staying informed about these evolving legal standards is essential for healthcare providers' risk management and compliance. Policymakers must prioritize the development of supportive legal frameworks that protect patient rights while providing healthcare providers with the clarity needed to navigate this complex landscape effectively.
Integrating Psychological Assessment and Legal Compliance: A Regulatory-Based Rehabilitation Framework for Children with Intellectual and Developmental Disabilities in Indonesia Rosnalisa Zein; Iwan Kusnawirawan; Hernayati; Muhammad Arsyad Subu; Dwi Ratna Sari Handayani; Imam Waluyo
Legalis : Journal of Law Review Vol. 4 No. 1 (2026): January 2026
Publisher : Indonesian Scientific Publication

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61978/legalis.v4i1.1324

Abstract

Children with Intellectual and Developmental Disabilities (IDD) in Indonesia face a persistent disconnect between psychological assessment, rehabilitation planning, and the realization of their legal rights. This study addresses this gap by developing and piloting an integrated pathway designed to unify these fragmented elements. We propose the Regulatory-Based Rehabilitation Framework (RBRF), a novel, structured pathway that consolidates standardized psychological assessment, individualized rehabilitation planning, and legal compliance checkpoints. Its key innovation lies in embedding legal accountability directly into the clinical rehabilitation process, an approach not previously tested in the Indonesian IDD context. A sequential mixed-methods design was employed, involving framework development informed by retrospective data, followed by a pilot implementation to evaluate feasibility, acceptability, and preliminary outcomes. Pilot results indicate that the RBRF is both feasible and well-received by families and providers. It was associated with improved coherence between assessment results, rehabilitation plans, and documented legal obligations. While modest positive trends were observed in child developmental functioning and caregiver-reported quality of life, these findings are preliminary due to the small sample size and non-controlled design. The RBRF demonstrates promise as a system-oriented approach to strengthening service coordination and accountability. This study contributes a contextually grounded model for operationalizing disability rights within rehabilitation systems, providing a foundation for future controlled trials and policy discussions in low- and middle-income settings.