Married women in many countries are increasingly likely to have a say in household decisions, but these gains do not necessarily apply to every type of decision. When women are included in decisions about household spending, more money tends to be spent for the benefit of women and children. And when women are able to make decisions about their health care, they are less vulnerable to preventable diseases. Progress in these areas has varied by country, and even in countries showing notable gains, many women still do not engage in all types of important decisions. For example, in Nepal, only 66 percent of women have a say about their own health care decisions. The same percentage of Zambian women have the opportunity to make decisions about large household purchases.