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Context Cardiovascular disease (CVD) is the leading cause of death globally and a significant health burden in Kenya. Despite improved outcomes in CVD, palliative care has limited implementation for CVD in low- and middle-income countries. This may be partly due to providers' perceptions of palliative care and end-of-life decision-making for CVD patients. Objectives Our goal was to explore providers' perceptions of palliative care for CVD in Western Kenya in order to inform its implementation. Methods We conducted eight focus group dis