From next month, the hauora's van will hit the road two days a week to help reach people in the deprived subregion.
But Te Puna Ora o Mataatua's chief operating officer Lee Colquhoun says creative thinking will be needed to reach isolated communities, including getting a helicopter in the air to transport the vaccines.
"It's not their fault that they live in the middle of nowhere. Everyone has the right to get the vaccination. If we have to do some stuff like that, then so be it."
He has discussed this with the Ministry of Health, but the idea has not yet received funding.
He says health authorities are too focused on dishing out as many vaccines as possible to people in the more populated areas, rather than reaching hard-to-reach communities in the Eastern Bay.
"Unfortunately we become the ugly cousin to Tauranga. All the resource and funding goes to [there] before starting in the east."
The Bay of Plenty District Health Board's Rachel Shouler is leading the rollout of the vaccine in the Eastern Bay.
As of Sunday, 15,479 vaccines had been administered across the subregion.
This amounted to 21 per cent towards the goal of having 80 per cent of the population receiving two doses of the Pfizer vaccine.
Shouler says the DHB considered using a helicopter, but it's unlikely it will be needed since the Pfizer vaccine can be refrigerated for up to 31 days.
The DHB will have mobile clinics based in Ōpōtiki and Kawerau.
She says reaching isolated communities needs to be balanced with vaccinating those in the more populated areas.
"What's equally important is making sure the big numbers of people in the centres are vaccinated. If isolated people are going to be at risk, it's going to be because of transmission through the large centres," she says.
"We've got to keep track of both sides of the coin."