Even today in many parts of the world, so many children lose so many family members at young ages. One difference, I think, compared with a lot of western countries, is that the extended family typically is more important. So the child's whole life is not necessarily centered around mommy or daddy, but around the whole extended family, perhaps including uncles and aunties, of which there may be many. Not saying that the death of a parent does not affect them, but I do wonder if it is harder in places where the nuclear family is much more the focus of family life.