I saw this on my recent travels. There's two things happening here, first of all you can see the whole family on the bike. But also he has mad skills being able to balance all of them on a Honda CD70! Super high risk though, especially with the kids and no helmets. The woman at the back even had a baby under her arm, which you can barely see in the photo.
In these countries you can see many different situations such as the photo. I do not know how that is possible. What do parents think about the safety of their children? No protective clothing for any helmets, nothing.