Saintfiet has been given a nine-month contract, up to the end of the qualifiers for the continental showpiece, where he will be reunited with one of his former sides, Togo.
Gambia lost their opener 1-0 to Benin and are next in action against group favourites Algeria in September.
Saintfiet has had a remarkable 11 jobs since 2010, most recently with Malta, but also the national teams of Trinidad and Tobago, Bangladesh, Togo, Malawi, Yemen, Ethiopia and Zimbabwe, as well as a stint with South African Premier Soccer League side Free State Stars.
It is as diverse a CV as you are likely to see, and his tenure with Malta was brought to an early end when he was accused by that country's football association of applying for the vacant Cameroon national team post.
Gambia have a few players plying their trade in top European leagues, most notably defender Omar Colley at Sampdoria in Italy.
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