Use apt-get commands

In fact you can install packages in home assistant OS. The package manager uses the command apk add xxxx

First create bash script and make executable and put it in a shell command

shell_command: 
setup: /config/scripts/setup.sh
# setup. sh

#!/bin/sh
apk update
apk add -u busybox
apk add busybox-extras
apk add expect
apk add sshpass

Then create an automation that runs your shell command during startup

- id: hass_1
  initial_state: 'true'
  alias: System Startup Notification
  trigger:
    platform: homeassistant
    event: start
  action:
  - service: shell_command.setup