Task-based Credentialing for Medical Officers in Spinal Anesthesia

Test the safety and effectiveness of training medical officers in the provision of spinal anesthesia in a rural hospital context using a non-inferiority randomized trial. The safety and effectiveness of the MOs will be evaluated through a non-inferiority trial in which patients are randomized to care by a trained MO or an anesthesiologist. The primary outcomes are safety (adherence to adapted anesthesia safety checklist- see supporting documents \"Adapted Anesthesia Safety Checklist\") and effectiveness (adequate analgesia) of spinal anesthesia.