"We know this will be extremely frustrating for many people and we apologise for the delays due to the strike but patient safety remains our number one priority."
The board earlier sought volunteers to assist during the strike.
Hawke's Bay Hospital will continue to provide essential and urgent services including the emergency department, emergency mental health, acute medical and surgical, intensive care, cancer treatments and maternity services.
Visiting hours remain unchanged.
Wairoa Hospital will provide ED services for essential and urgent cases. The inpatient ward remains open with normal visiting hours but outpatient clinics will be closed and district nursing services will close from 11am.
Central Hawke's Bay Health Centre's inpatient ward will remain open with normal visiting hours, but outpatient clinics will be closed, as will district nursing services from 11am.
General practices and most other health services across the region will not be directly affected by the strike action.
Full details about strike impacts across Hastings, Napier, Wairoa and Central Hawke's Bay sites are on the DHB's website www.ourhealthhb.nz. The website also contains a full list of medical centres and pharmacy opening hours.
Patients unsure about whether the strike affects them can also call 0800 248 794 for more information or help.
Where possible people should contact their general practice or urgent doctors for non-emergencies. However, in an emergency always call 111.
Bargaining between the union and district health boards continues.