This document provides background information and objectives for a consultation between the UN Secretary-General's High-level Panel on UN System-wide Coherence and country-level practitioners in Cairo, Egypt. The consultation aims to discuss challenges faced by the UN at the country level in the current aid environment and proposals to reform the UN system to better respond to these challenges. Key topics for discussion include defining the UN's role at the country level, moving toward a more coherent "One UN" approach with one program, budget, leader, and exploring the opportunities and challenges of different models for enhancing UN coherence at the country level. The consultation seeks to integrate the views of practitioners to inform the panel's ongoing deliberations.